MEDICARE: CALLIE HASSELSCHWERT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1205761905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CALLIE HASSELSCHWERT

Provider Business Mailing Address
First Line	:	3415 BATAAN MEMORIAL W
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-5012
Country	:	US
Telephone Number	:	505-392-3482
Fax Number	:

Provider Business Practice Location Address
First Line	:	1280 E 17TH AVE APT 307
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1589
Country	:	US
Telephone Number	:	970-619-0293
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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Directions to “ CALLIE HASSELSCHWERT ” Practice Location

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