Individual
MS. MANDA DAWN PACKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
445 E CHEYENNE MTN BLVD STE C-372, COLORADO SPRINGS, CO 80906-1528
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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