JACK FREDERIKSEN

COLORADO SPRINGS, CO
NPI1982217279
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2020-08-26
Last Update Date2020-08-26
Business Address
JACK FREDERIKSEN
1330 QUAIL LAKE LOOP STE 200
COLORADO SPRINGS, CO 80906-4651
Phone number: 719-540-2108
Mailing Address
JACK FREDERIKSEN
1330 QUAIL LAKE LOOP STE 200
COLORADO SPRINGS, CO 80906-4651
Phone number: 719-540-2108