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Individual

PHILIP SPAULDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4851 INDEPENDENCE ST FL 1, WHEAT RIDGE, CO 80033-6715
(303) 250-5601
Mailing address
4851 INDEPENDENCE ST FL 1, WHEAT RIDGE, CO 80033-6715

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
405300000X
Prevention Professional
Primary
CCPSII-02017
CO

Other

Enumeration date
05/31/2018
Last updated
08/11/2026
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