Healthcare Provider Details

I. General information

NPI: 1386362507
Provider Name (Legal Business Name): MRS. APRIL MAE ANDERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2022
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2132 E BIJOU ST
COLORADO SPRINGS CO
80909-5946
US

IV. Provider business mailing address

1330 QUAIL LAKE LOOP
COLORADO SPRINGS CO
80906-4651
US

V. Phone/Fax

Practice location:
  • Phone: 719-425-7775
  • Fax:
Mailing address:
  • Phone: 719-540-1208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-22-228977
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number21338
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: