Individual
AUTUMN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1015 GARDEN OF THE GODS RD, COLORADO SPRINGS, CO 80907-3489
(719) 354-5297
Mailing address
4125 WESTMEADOW DR APT 1188, COLORADO SPRINGS, CO 80906-6073
(907) 602-1141
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-405891
CO
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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