Individual
AMERICA COCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2976 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5308
(719) 466-4809
(719) 368-8399
Mailing address
2120 E LA SALLE ST, COLORADO SPRINGS, CO 80909-2218
(719) 466-4809
(719) 368-8399
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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