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Organization

BRAIN DEVELOPMENT CENTERS OF COLORADO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RANDEE PHYLLIS VAN NESS BCBA (PRESIDENT)
(719) 375-1788
Entity
Organization

Contact information

Practice address
4740 FLINTRIDGE DR, SUITE 101, COLORADO SPRINGS, CO 80918-4253
(719) 375-1788
(719) 358-7756
Mailing address
4740 FLINTRIDGE DR, SUITE 101, COLORADO SPRINGS, CO 80918-4253
(719) 375-1788
(719) 358-7756

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
10/24/2012
Last updated
10/24/2012
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