Individual
ANNALISSA MARIE JAKUPCAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. BCBA
Contact information
Practice address
6160 TUTT BLVD STE 120, COLORADO SPRINGS, CO 80923-3503
(719) 540-2101
Mailing address
6160 TUTT BLVD STE 120, COLORADO SPRINGS, CO 80923-3503
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28865
CO
Other
Enumeration date
01/11/2018
Last updated
10/05/2020
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