Individual
ABIMBOLA OLUFUNKE FASAWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6385 CORPORATE DR STE 200-41, COLORADO SPRINGS, CO 80919-5901
(719) 341-1150
Mailing address
962 S CRYSTAL WAY APT 103, AURORA, CO 80012-3650
(973) 932-4114
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/21/2025
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