Individual
AUTUMN SKYE IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5446 N ACADEMY BLVD STE 105, COLORADO SPRINGS, CO 80918-3668
(719) 246-8440
Mailing address
5446 N ACADEMY BLVD STE 105, COLORADO SPRINGS, CO 80918-3668
(719) 246-8440
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-09899
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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