Individual
TRUE ST PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7720 MIDNIGHT RD, PEYTON, CO 80831-6136
(719) 717-6779
Mailing address
7720 MIDNIGHT RD, PEYTON, CO 80831-6136
(719) 717-6779
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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