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1821852781
DERRICK LAMAR ANDERSON
COLORADO SPRINGS, CO
NPI
1821852781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CO RBT-24-326706)
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
DERRICK LAMAR ANDERSON
5526 N ACADEMY BLVD STE 109
COLORADO SPRINGS, CO 80918-3688
Phone number: 719-301-5100
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Mailing Address
DERRICK LAMAR ANDERSON
5526 N ACADEMY BLVD STE 109
COLORADO SPRINGS, CO 80918-3688
Phone number: 719-301-5100
Copy
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