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Individual

LUCAS ROLLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
QASP-S

Contact information

Practice address
8002 E 50TH DR, DENVER, CO 80238-3299
(720) 961-3764
Mailing address
2976 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5308

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
12102
CO
106S00000X
Behavior Technician
1981512

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1981512
RBT
Enumeration date
03/29/2019
Last updated
12/03/2021
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