Individual
ANYSSA STAMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
644 E WILLAMETTE AVE APT 9, COLORADO SPRINGS, CO 80903-3039
(740) 603-3276
Mailing address
644 E WILLAMETTE AVE APT 9, COLORADO SPRINGS, CO 80903-3039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-105236
—
Other
Enumeration date
01/31/2018
Last updated
04/02/2023
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