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1124510185
AMANDA JOY POULSON
LAKEWOOD, CO
NPI
1124510185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CO 11829206)
Enumeration Date
2018-06-05
Last Update Date
2018-06-05
Business Address
AMANDA JOY POULSON BCBA
2525 S WADSWORTH BLVD
LAKEWOOD, CO 80227-3273
Phone number: 720-962-4555
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Mailing Address
AMANDA JOY POULSON BCBA
512 N INSTITUTE ST
COLORADO SPRINGS, CO 80903-3142
Phone number: 719-310-5646
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