Individual
TASHA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1330 QUAIL LAKE LOOP STE 120, COLORADO SPRINGS, CO 80906-4651
(619) 977-7201
(619) 374-7134
Mailing address
3731 6TH AVE STE 100, SAN DIEGO, CA 92103-4383
(619) 977-7201
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA: 1-13-13886
CO
Other
Enumeration date
02/07/2013
Last updated
09/19/2013
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