Provider Demographics
NPI:1053208876
Name:SEPERIC, ALONDRA LOPEZ
Entity type:Individual
Prefix:
First Name:ALONDRA
Middle Name:LOPEZ
Last Name:SEPERIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALONDRA
Other - Middle Name:LOPEZ
Other - Last Name:ARAGON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:441 GRENIER LN
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80916-5260
Mailing Address - Country:US
Mailing Address - Phone:616-894-1370
Mailing Address - Fax:
Practice Address - Street 1:441 GRENIER LN
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80916-5260
Practice Address - Country:US
Practice Address - Phone:616-894-1370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician