Individual
OLUWADAMILARE PRECIOUS EZEKIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1079 SPACE CENTER DR, COLORADO SPRINGS, CO 80915-3612
(888) 754-0398
Mailing address
1870 SWEARINGER DR, COLORADO SPGS, CO 80906-5442
(561) 644-8761
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06030401
I DON'T HAVE ONE
—
Enumeration date
02/21/2023
Last updated
02/21/2023
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