Individual
HAILEY RYAN DE LA HOUSSAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13725 STRUTHERS RD, COLORADO SPRINGS, CO 80921-2451
(719) 301-5100
Mailing address
2105 ACADEMY CIR STE 100, COLORADO SPRINGS, CO 80909-1664
(303) 598-5555
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-312650
CO
Other
Enumeration date
05/15/2024
Last updated
07/02/2024
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