Individual
ANNALISA DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
234 N. MAIN STREET, GUNNISON, CO 81230-2438
(720) 584-8055
(303) 958-2251
Mailing address
10650 E BETHANY DR, AURORA, CO 80014-2653
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72635
CO
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
12/26/2023
Last updated
07/21/2026
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