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Individual

TAYLOR LOUCKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
2822 W CUCHARRAS ST, COLORADO SPRINGS, CO 80904-2448
(720) 563-1736
Mailing address
3107 W COLORADO AVE # 118, COLORADO SPRINGS, CO 80904-2040
(720) 563-1736

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
12/20/2017
Last updated
04/24/2024
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