Individual
MISS DEMI NICOLE VALLEJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
8415 EXPLORER DR STE 130, COLORADO SPRINGS, CO 80920-1034
(719) 900-5690
Mailing address
402 W DALE ST, COLORADO SPRINGS, CO 80905-1131
(719) 281-7589
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1061674
CO
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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