Organization
DEVOTED AUTISM THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA VOGT MA, BCBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(252) 402-0513
Entity
Organization
Contact information
Practice address
10262 LUNETH DR, COLORADO SPRINGS, CO 80925-1470
(252) 402-0513
Mailing address
10262 LUNETH DR, COLORADO SPRINGS, CO 80925-1470
(252) 402-0513
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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