Individual
ALYSSA NICHOLE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8140 FREEMANTLE DR, COLORADO SPRINGS, CO 80920-4925
(208) 949-4539
Mailing address
8140 FREEMANTLE DR, COLORADO SPRINGS, CO 80920-4925
(208) 949-4539
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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