Provider Demographics
NPI:1942669270
Name:ARMSTRONG, ALIE
Entity Type:Individual
Prefix:
First Name:ALIE
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 748
Mailing Address - Street 2:
Mailing Address - City:COMO
Mailing Address - State:CO
Mailing Address - Zip Code:80432-1012
Mailing Address - Country:US
Mailing Address - Phone:970-652-9297
Mailing Address - Fax:
Practice Address - Street 1:13949 W COLFAX AVE STE 150
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3209
Practice Address - Country:US
Practice Address - Phone:970-652-9297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSRBT-17-42956106S00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician