Healthcare Provider Details

I. General information

NPI: 1811891641
Provider Name (Legal Business Name): ALYSSA COPE
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1612 SPECHT POINT RD UNIT 105
FORT COLLINS CO
80525-4361
US

IV. Provider business mailing address

21402 PEGGY JOYCE LN
SAUGUS CA
91350-1723
US

V. Phone/Fax

Practice location:
  • Phone: 970-792-3586
  • Fax:
Mailing address:
  • Phone: 661-510-6029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: