Individual
JOHN WHELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2761 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 623-4500
Mailing address
13725 STRUTHERS RD STE 200, COLORADO SPRINGS, CO 80921-2488
(719) 301-5100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79917
CO
106S00000X
Behavior Technician
—
CO
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790211605
—
CO
Enumeration date
01/09/2019
Last updated
03/25/2025
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