Individual
ROSALIE BYRD PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2091 KERR GULCH RD, EVERGREEN, CO 80439-6398
(720) 339-1309
(303) 279-6181
Mailing address
2091 KERR GULCH RD, EVERGREEN, CO 80439-6398
(720) 339-1309
(303) 279-6181
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5801
CO
Other
Enumeration date
06/21/2010
Last updated
11/01/2011
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