Individual
JENNIFER CHEESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 PARKMOOR VILLAGE DR, COLORADO SPRINGS, CO 80917-5292
(719) 232-3498
Mailing address
3535 PARKMOOR VILLAGE DR, COLORADO SPRINGS, CO 80917-5292
(171) 923-2349
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
14453
CO
106S00000X
Behavior Technician
RBT-21-170415
CO
Other
Enumeration date
06/04/2021
Last updated
01/17/2024
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