Alyssa Ponsolle, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12368717 Issued in CO

Practice address

88 Inverness Cir E # I105-106
Englewood, CO 80112-5304

Phone

(720) 288-3549

NPI assigned

Oct 14, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Alyssa Ponsolle Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optimum Guidance Behavior Consulting, LLC

  • Community/Behavioral Health Agency
  • Florence, CO
  • NPI 1215554753
  NPD (past)
• Optimum Guidance Behavior Consulting, LLC

  • Home Health Agency
  • Louisville, CO
  • NPI 1811451693
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1063010700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6874 S ULSTER CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 INVERNESS CIR E # I105-106",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125304",
            "telephone_number": "720-288-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONSOLLE",
        "first_name": "ALYSSA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "RBT-20-140252",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "12368717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-20-140252",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.ogbehavior.com",
            "affiliation": "N",
            "address_1": "2305 Broadway St Fl 300010",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803044106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "PONSOLLE",
            "credential": "BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Steven F. Podgorski
• Kimberly Pohorence
• Stanislav M Poliashenko, M.D.
• Edda Polinsky
• Tamara L Pollack, DIPL. AC
• Vyoma Popat, DO
• Brandon Pope, M.D.
• Lauren Popp
• Steven T Portenga, PH.D.
• Nicole Elizabeth Porter, LCSW

• Behavior Analyst in Englewood, CO
• Providers in Englewood, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.