Individual
CARMA MICHELLE BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 CLUB MANOR DR, PUEBLO, CO 81008-2004
(719) 319-3905
Mailing address
443 S FALCON DR, PUEBLO WEST, CO 81007-2707
(843) 227-6097
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25-502997
CO
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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