Individual
MAIRA PEREIRA ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 WINDCHIME PL, COLORADO SPRINGS, CO 80919-1984
(888) 754-0398
Mailing address
4912 SAND CANYON TRL, COLORADO SPRINGS, CO 80924-1290
(702) 863-3857
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51012
—
106S00000X
Behavior Technician
RBT-19-78103
—
Other
Enumeration date
02/27/2019
Last updated
01/15/2025
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