| NPI | 1861633604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAREE KELLY-WARNER Billing Manager 719-210-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1062879) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2022-05-23 |