Individual
AMANDA GRACE ELSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 FORTINO BLVD, PUEBLO, CO 81008-2032
(719) 696-7799
Mailing address
2233 ACADEMY PL STE 200, COLORADO SPRINGS, CO 80909-1666
(719) 597-0822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
03/19/2025
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