Healthcare Provider Details

I. General information

NPI: 1396609012
Provider Name (Legal Business Name): AALEYAH DANIELLA HOOPER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2233 ACADEMY PL STE 20L
COLORADO SPRINGS CO
80909-1696
US

IV. Provider business mailing address

875 LORDS HILL DR
FOUNTAIN CO
80817-4698
US

V. Phone/Fax

Practice location:
  • Phone: 719-597-0822
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: