Provider Demographics
NPI:1699902890
Name:ATTAIN-SPEECH-LANGUAGE AND BEHAVIORAL SERVICES
Entity type:Organization
Organization Name:ATTAIN-SPEECH-LANGUAGE AND BEHAVIORAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLADOW
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP, BCBA
Authorized Official - Phone:970-420-0578
Mailing Address - Street 1:6107 ASHTON CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-5898
Mailing Address - Country:US
Mailing Address - Phone:970-420-0578
Mailing Address - Fax:
Practice Address - Street 1:1623 S LEMAY AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-1123
Practice Address - Country:US
Practice Address - Phone:970-420-0578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-15
Last Update Date:2018-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
CO235Z00000X
CO000048235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty