Individual
AMANDA EAGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10850 E WOODMEN RD, PEYTON, CO 80831-8127
(719) 495-1100
Mailing address
4851 BLUESTEM DR, COLORADO SPRINGS, CO 80917-1349
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
P-0806
NH
235Z00000X
Speech-Language Pathologist
Primary
—
CO
Other
Enumeration date
10/06/2017
Last updated
08/30/2024
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