Organization
PASSPORT AUTISM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID E HUGHES BCBA (FOUNDER)
(315) 317-0825
Entity
Organization
Contact information
Practice address
912 DRIFTWOOD DR, FORT COLLINS, CO 80525
(970) 460-3495
Mailing address
912 DRIFTWOOD DR, FORT COLLINS, CO 80525-3106
(970) 460-3495
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
11/12/2019
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