Individual
TRAVIS CARRASQUILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 QUAIL LAKE LOOP, SUITE 140, COLORADO SPRINGS, CO 80906-4651
(719) 313-2709
Mailing address
1330 QUAIL LAKE LOOP, SUITE 140, COLORADO SPRINGS, CO 80906-4651
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-14-5932
IL
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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