Individual
CAITLYN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 N SANTA FE AVE, FOUNTAIN, CO 80817-1738
(719) 597-0822
Mailing address
1620 PALMER AVE, PUEBLO, CO 81004-3215
(719) 369-0118
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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