Individual
LAUREN GRACE SANDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 S PRAIRIE AVE, PUEBLO, CO 81005-2307
(719) 569-4411
Mailing address
1614 LAKE AVE, PUEBLO, CO 81004-3343
(318) 331-0745
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
20398
CO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/13/2023
Last updated
04/08/2026
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