Individual
ANGELL ATTAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1930 FREQUENT FLYER PT, COLORADO SPRINGS, CO 80915-1500
(719) 579-6440
Mailing address
1930 FREQUENT FLYER PT, COLORADO SPRINGS, CO 80915-1500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-211530
CO
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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