Individual
ABBY MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2760 FIELDSTONE RD, COLORADO SPRINGS, CO 80919-3100
(719) 203-6903
(719) 203-6904
Mailing address
380 WINTER PARK LN, COLORADO SPRINGS, CO 80919-2151
(719) 237-3179
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-169333
CO
106S00000X
Behavior Technician
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Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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