Provider Demographics
NPI:1043906233
Name:BLUEBIRD SKY BEHAVIOR LLC
Entity type:Organization
Organization Name:BLUEBIRD SKY BEHAVIOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:ALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:970-652-9297
Mailing Address - Street 1:PO BOX 748
Mailing Address - Street 2:
Mailing Address - City:COMO
Mailing Address - State:CO
Mailing Address - Zip Code:80432-1012
Mailing Address - Country:US
Mailing Address - Phone:970-652-9297
Mailing Address - Fax:
Practice Address - Street 1:173 MUSKET LANE
Practice Address - Street 2:
Practice Address - City:COMO
Practice Address - State:CO
Practice Address - Zip Code:80432
Practice Address - Country:US
Practice Address - Phone:970-652-9297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty