Individual
ALLYSA A DELGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 EAGLERIDGE CIR STE 230, PUEBLO, CO 81008-2176
(719) 582-8736
Mailing address
4710 EAGLERIDGE CIR STE 230, PUEBLO, CO 81008-2176
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-249771
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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