Individual
ALYSSA PONSOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
88 INVERNESS CIR E # I105-106, ENGLEWOOD, CO 80112-5304
(720) 288-3549
Mailing address
6874 S ULSTER CIR, CENTENNIAL, CO 80112-1364
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12368717
CO
106S00000X
Behavior Technician
RBT-20-140252
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-140252
BACB
—
Enumeration date
10/14/2020
Last updated
10/05/2023
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