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1609451764
SHANE MATHEWS
COLORADO SPRINGS, CO
NPI
1609451764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CO RBT-21-159368)
Enumeration Date
2021-03-10
Last Update Date
2021-03-10
Business Address
SHANE MATHEWS
5526 N ACADEMY BLVD STE 109
COLORADO SPRINGS, CO 80918-3688
Phone number: 719-301-5100
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Mailing Address
SHANE MATHEWS
5526 N ACADEMY BLVD STE 109
COLORADO SPRINGS, CO 80918-3688
Phone number: 719-301-5100
Copy
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