Individual
ALYSSA MARIE RENVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3460 POST OAK DR, COLORADO SPRINGS, CO 80916-4422
(719) 300-9132
Mailing address
3460 POST OAK DR, COLORADO SPRINGS, CO 80916-4422
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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