Individual
CHARLES IVEY VANLANDINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5974 DEL REY DR, COLORADO SPRINGS, CO 80918-1756
(719) 314-5634
Mailing address
5974 DEL REY DR, COLORADO SPRINGS, CO 80918-1756
(719) 314-5634
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/15/2025
Last updated
03/15/2025
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