Individual
ANNETTE OKONOFUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, M.ED.
Contact information
Practice address
1915 AEROTECH DR STE 190, COLORADO SPRINGS, CO 80916-4213
(719) 301-5100
Mailing address
8104 WESSON RD, ARLINGTON, TX 76002-3005
(817) 812-4422
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48340
CO
106S00000X
Behavior Technician
RBT-17-39187
TX
Other
Enumeration date
02/15/2018
Last updated
10/13/2021
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