Individual
COURTNEY ANN NEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
2123 E BIJOU ST, COLORADO SPRINGS, CO 80909
(719) 425-7771
Mailing address
2217 ALPINE DR, COLORADO SPRINGS, CO 80909-2123
(608) 728-4609
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-35109
BACB
—
05
—
9000175760
—
CO
Enumeration date
01/22/2018
Last updated
06/20/2022
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