Individual
SHELLY CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4363 WINDING CIR, COLORADO SPRINGS, CO 80917-3635
(719) 235-2796
Mailing address
4363 WINDING CIR, COLORADO SPRINGS, CO 80917-3635
(719) 235-2796
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17377
CO
Other
Enumeration date
01/01/2015
Last updated
04/05/2023
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