Individual
KATHRYN L DEBLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2989 BROADMOOR VALLEY RD STE D, COLORADO SPRINGS, CO 80906-4403
(719) 576-1316
Mailing address
2920 N ACADEMY BLVD STE 210, COLORADO SPRINGS, CO 80917-5369
(719) 466-4809
(719) 368-8399
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11940
CO
106S00000X
Behavior Technician
RBT-17-39605
CO
Other
Enumeration date
01/09/2018
Last updated
09/19/2025
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