Organization
SHELLY MIICAH ABA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY MICAH CHILDS BCBA (BEHAVIOR ANALYST)
(719) 235-2796
Entity
Organization
Contact information
Practice address
4363 WINDING CIR, COLORADO SPRINGS, CO 80917-3635
(719) 235-2796
Mailing address
4363 WINDING CIR, COLORADO SPRINGS, CO 80917-3635
(719) 235-2796
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17377
CO
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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