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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