Individual
JACOB FROEHLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
4815 LIST DR STE 107, COLORADO SPRINGS, CO 80919-3340
(719) 325-6311
Mailing address
104 W OLD BROADMOOR RD, COLORADO SPRINGS, CO 80906-3336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-185696
CO
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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