Healthcare Provider Details

I. General information

NPI: 1205338951
Provider Name (Legal Business Name): DEVIN WELP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2018
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 LAKE PLAZA DR STE D
COLORADO SPRINGS CO
80906-3567
US

IV. Provider business mailing address

1908 FERNWOOD DR
COLORADO SPRINGS CO
80910-1459
US

V. Phone/Fax

Practice location:
  • Phone: 812-205-0567
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number14330
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: