NPI 1215671185
Prospera Healthcare Wyoming LLC
Practice location
- Address
- 312 W 2nd St # 2037, Casper, WY 82601-2412
- Phone
- (972) 900-2488
- Fax
- (972) 600-2835
Authorised official
- Name
- Chris Tillotson
- Title
- Ceo
- Phone
- (972) 900-2488
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1215671185
- Entity type
- Organization
- NPI issued
- 26 Apr 2022
- Record last updated
- 26 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.