Individual
ALICE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 BROADWAY AVE, PUEBLO, CO 81004-2127
(719) 425-7771
Mailing address
3232 W 31ST ST, PUEBLO, CO 81008-1650
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-425658
CO
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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