Individual
REBEKAH NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3960 IVYWOOD LN, PUEBLO, CO 81005-2567
(719) 565-1276
(719) 565-2313
Mailing address
3960 IVYWOOD LN, PUEBLO, CO 81005-2567
(719) 565-1276
(719) 565-2313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50486
CO
Other
Enumeration date
12/16/2018
Last updated
07/22/2021
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