Individual
AMANDA N EVANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2706 FIELDSTONE ROAD, COLORADO SPRINGS, CO 80919
(719) 203-6903
Mailing address
2760 FIELDSTONE RD, COLORADO SPRINGS, CO 80919-3100
(719) 203-6903
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
18-64191
CO
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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