Individual
IAN REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2150 LELARAY ST, COLORADO SPRINGS, CO 80909-2808
(719) 266-1000
Mailing address
7621 PITCHER PT APT 303, FOUNTAIN, CO 80817-4816
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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