Organization
MAURA STACK ODEN LLC
Active
Other names
ABA Services of Colorado
Organization subpart
No
Provider details
NPI number
Authorized official
MAURA WAMSLEY BCBA (OWNER)
(720) 670-9046
Entity
Organization
Contact information
Practice address
1309 OAK WAY AVE, GLENWOOD SPRINGS, CO 81601-4049
(720) 670-9046
Mailing address
1309 OAK WAY AVE, GLENWOOD SPRINGS, CO 81601-4049
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64185044
—
CO
Enumeration date
03/17/2016
Last updated
07/23/2021
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