Individual
CHYNA RAE PERALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2760 FIELDSTONE RD, COLORADO SPRINGS, CO 80919-3100
(719) 203-6903
Mailing address
2560 TRINITY CIR APT 25C, COLORADO SPRINGS, CO 80918-6732
(979) 739-9969
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-189828
CO
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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