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Organization

SUPPORT, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BENTLEY SMITH (COO)
(303) 340-0322
Entity
Organization

Contact information

Practice address
15591 E CENTRETECH PKWY, AURORA, CO 80011
(303) 340-0322
Mailing address
15591 E CENTRETECH PKWY, AURORA, CO 80011-9102
(303) 340-0322

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
103K00000X
Behavior Analyst
1041C0700X
Clinical Social Worker
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
CO
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
261QM1300X
Multi-Specialty Clinic/Center
373H00000X
Day Training/Habilitation Specialist
376J00000X
Homemaker
385H00000X
Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09141383
CO
Enumeration date
10/25/2016
Last updated
06/18/2018
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