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Individual

AMANDA VISSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
11681 VOYAGER PKWY STE 150, COLORADO SPRINGS, CO 80921-3864
(719) 344-9342
Mailing address
11681 VOYAGER PKWY STE 150, COLORADO SPRINGS, CO 80921-3864
(719) 344-9342

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/30/2020
Last updated
11/30/2020
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