ALYSSA PONSOLLE


Address: 2305 Broadway St Fl 300010, Boulder, CO 80304-4106
Phone: 5417616230

ALYSSA PONSOLLE (NPI# 1063010700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063010700
Entity Type Individual
Full Name ALYSSA PONSOLLE
Practice Address 2305 Broadway St Fl 300010
Boulder
CO 80304-4106
Mailing Address 6874 S Ulster Cir
Centennial
CO 80112-1364
Practice Telephone 5417616230
Enumeration Date 2020-10-14
Last Update Date 2020-10-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician RBT-20-140252 CO Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
BACB RBT-20-140252 01

Office Location

Street Address 2305 BROADWAY ST FL 300010
City BOULDER
State CO
Zip Code 80304-4106

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NPI Name Taxonomy Address Enumeration
1720605256 Evol.v Chiropractic LLC Chiropractor 2401 Broadway #208, Boulder, CO 80304 2020-07-01
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1831608603 Lesley Ann Cloke Dietitian, Registered 1895 Bluff St., Unit C, Boulder, CO 80304 2017-09-25
1790209740 Megan Litwiller Occupational Therapist 810 Maxwell Ave, Boulder, CO 80304 2017-08-01
1285163774 Nadine Martin Registered Nurse 311 Mapleton Ave # 331, Boulder, CO 80304 2017-06-08
1598119281 Megan Cronin Larson Social Worker 825 S. Broadway Street, Boulder, CO 80304 2016-04-19
1760844237 Rafia Rebeck Counselor 1235 Elder Ave #7, Boulder, CO 80304 2016-03-24
1629441688 Jennifer S Delaney Counselor 2334 Broadway, Ste. B, Boulder, CO 80304 2015-11-12
1891162301 Kingston Dialysis LLC Clinic/Center 2880 Folsom St Ste 110, Boulder, CO 80304 2015-09-01
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538625298 Anuja Anna Varghese Behavior Technician 860 W Moorhead Cir Apt 2i, Boulder, CO 80305-6131 2019-02-18
1235626151 Chelsea Stallan Behavior Technician 4730 Table Mesa Dr # H200, Boulder, CO 80305-5560 2018-04-16
1215431630 Mira Vk Patel Behavior Technician 4730 Table Mesa Dr Ste H-200, Boulder, CO 80305-5560 2018-03-20
1699283986 Matthew Emrikson Behavior Technician 4730 Table Mesa Dr Ste H200, Boulder, CO 80305-5560 2018-01-20
1679089791 Tiara Sutton Behavior Technician 2244 Goss Cir E Apt 1, Boulder, CO 80302-6635 2017-12-27
1225638927 Alyssa Arden Reed Behavior Technician 2500 Arapahoe Ave Ste 230, Boulder, CO 80302-6752 2020-10-30
1417557315 Danya Jade Demayo-lockhart Behavior Technician 2500 Arapahoe Ave Ste 230, Boulder, CO 80302-6752 2020-10-29
1710587985 Caitlyn Fitzgerald Behavior Technician 2500 Arapahoe Ave Ste 230, Boulder, CO 80302-6752 2020-10-27
1346849874 Olivia Soukup Behavior Technician 2500 Arapahoe Ave Ste 230, Boulder, CO 80302-6752 2020-10-26
1841899143 Kaylee Wilson Behavior Technician 2500 Arapahoe Ave Ste 230, Boulder, CO 80302-6752 2020-10-19
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Competitor

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City BOULDER
Zip Code 80304

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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