Lillian M Vanallen
Behavior Technician in Pueblo, CO. Individual provider (NPI-1).
NPI number1053239145
StatusActive
Last updated in NPPESJul 7, 2026
Details
- NPI
- 1053239145
- Entity type
- Individual (NPI-1)
- Name
- Lillian M Vanallen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2026
- Certification date
- Jul 7, 2026
- Last updated
- Jul 7, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CO | Yes |
Practice location
4710 Eagleridge CirPueblo, CO 81008-2176
Phone 720-551-2551 · Fax 720-551-2551
Mailing address
4710 Eagleridge CirPueblo, CO 81008-2176
Phone 720-551-2551 · Fax 720-551-2551
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 200 Behavior Technician providers in Pueblo · All 5,060 providers in Pueblo
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