Healthcare Provider Details

I. General information

NPI: 1144146267
Provider Name (Legal Business Name): YZANA HARWOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 PARKMOOR VILLAGE DR
COLORADO SPRINGS CO
80917-5292
US

IV. Provider business mailing address

185 POLARIS POINT LOOP APT 131
COLORADO SPRINGS CO
80921-3895
US

V. Phone/Fax

Practice location:
  • Phone: 719-574-7688
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-548304
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: