Individual
AICHEL CAMPOS SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17230 JACKSON CREEK PKWY, MONUMENT, CO 80132-7301
(719) 597-0822
Mailing address
850 DOLAN DR, MONUMENT, CO 80132-2219
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CO
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
CO
Other
Enumeration date
06/02/2020
Last updated
08/31/2023
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