Individual
JACQUELINE EIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 QUAIL LAKE LOOP, COLORADO SPRINGS, CO 80906-4651
(719) 540-2108
Mailing address
1330 QUAIL LAKE LOOP, COLORADO SPRINGS, CO 80906-4651
(719) 540-2108
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
18830
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/30/2024
Last updated
10/29/2025
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