Organization
ALTA VISTA CENTER FOR AUTISM
Active
Parent organization
ALTA VISTA CENTER FOR AUTISM
Other names
Firefly Autism
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALTA VISTA CENTER FOR AUTISM
Authorized official
JESSE KIRKER OGAS (EXECUTIVE DIRECTOR)
(720) 399-9203
Entity
Organization
Contact information
Practice address
2320 W COLORADO AVE STE 125, COLORADO SPRINGS, CO 80904-3355
(303) 759-1192
(303) 759-1194
Mailing address
2001 HOYT ST, LAKEWOOD, CO 80215-1639
(303) 759-1192
(303) 759-1194
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17770106
—
CO
Enumeration date
05/11/2021
Last updated
05/11/2021
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