Individual
MAURISSA HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 E LA SALLE ST, COLORADO SPRINGS, CO 80909-2218
(719) 466-4809
Mailing address
2120 E LA SALLE ST, COLORADO SPRINGS, CO 80909-2218
(719) 466-4809
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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