Individual
ITZANAHI LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2989 BROADMOOR VALLEY RD, COLORADO SPRINGS, CO 80906-4403
(719) 576-1316
Mailing address
4385 PEBBLE RIDGE CIR APT 203, COLORADO SPRINGS, CO 80906-6541
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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