Individual
COREY ENGDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 S ACADEMY BLVD STE 140, COLORADO SPRINGS, CO 80910-3922
(888) 754-0398
Mailing address
310 HUNTER AVE APT 6, COLORADO SPRINGS, CO 80905-7123
(415) 547-0316
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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