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NPI Code Detail

MEDICARE: ALYSSIA KORTIE RBT

MEDICARE: ALYSSIA KORTIE RBT
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
1106S00000XBehavior TechnicianRBT-22-220508GA

General Provider Information

NPI Number : 1427788330
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSIA KORTIE RBT
Provider Business Mailing Address
First Line : 1425 N UNION BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-2871
Country : US
Telephone Number : 719-922-7906
Fax Number : 720-367-5263
Provider Business Practice Location Address
First Line : 1425 N UNION BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-2871
Country : US
Telephone Number : 719-922-7906
Fax Number : 720-367-5263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2022
Last Update Date : 03/19/2026

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Directions to “ ALYSSIA KORTIE RBT” Practice Location

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