Healthcare Provider Details

I. General information

NPI: 1962090167
Provider Name (Legal Business Name): HALEY DAWN TAFOYA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2021
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2760 FIELDSTONE RD
COLORADO SPRINGS CO
80919-3100
US

IV. Provider business mailing address

2760 FIELDSTONE RD
COLORADO SPRINGS CO
80919-3100
US

V. Phone/Fax

Practice location:
  • Phone: 791-203-6903
  • Fax: 791-203-6904
Mailing address:
  • Phone: 719-203-6903
  • Fax: 719-203-6904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-90121
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: