Individual
CODI NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6845 CAMPUS DR, COLORADO SPRINGS, CO 80920-3107
(719) 822-0900
Mailing address
3625 CITADEL DR S, COLORADO SPRINGS, CO 80909-5320
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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