Individual
CIARA RAYNE PETRASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6189 LEHMAN DR STE 202, COLORADO SPRINGS, CO 80918-5409
(719) 266-1000
Mailing address
16111 OLD FOREST PT APT 100, MONUMENT, CO 80132-8675
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
10/14/2018
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