Individual
TAYLOR LEE FONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 VICTOR PL, COLORADO SPRINGS, CO 80915-1501
(800) 345-0448
Mailing address
1930 VICTOR PL, COLORADO SPRINGS, CO 80915-1501
(800) 345-0448
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CO
106S00000X
Behavior Technician
—
VA
Other
Enumeration date
11/06/2017
Last updated
01/26/2021
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