Individual
ALYSSA ANN HEILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5526 N ACADEMY BLVD STE 109, COLORADO SPRINGS, CO 80918-3688
(719) 301-5100
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-178813
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/11/2020
Last updated
11/10/2022
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