Individual
BRITTANY ODUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2322 SAN MACROS, COLORADO SPRINGS, CO 80910
(973) 391-3487
Mailing address
2322 SAN MACROS, COLORADO SPRINGS, CO 80910
(973) 391-3487
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790211605
—
CO
Enumeration date
02/28/2023
Last updated
02/28/2023
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