Individual
CHANTZ THREATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5526 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-3681
(719) 301-5100
Mailing address
5526 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-3681
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1466721
CO
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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