Provider Demographics
NPI:1346615077
Name:GEISLER, ANYSSA (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:ANYSSA
Middle Name:
Last Name:GEISLER
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:ANYSSA
Other - Middle Name:
Other - Last Name:HARTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, BCBA
Mailing Address - Street 1:19284 COTTONWOOD DR STE 101
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-3881
Mailing Address - Country:US
Mailing Address - Phone:720-457-3100
Mailing Address - Fax:
Practice Address - Street 1:19284 COTTONWOOD DR STE 101
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-3881
Practice Address - Country:US
Practice Address - Phone:720-457-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-07
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-18-32588103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst