Individual
SHENNANDOAH TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6197 LEHMAN DR STE 102, COLORADO SPRINGS, CO 80918-3446
(719) 266-1000
Mailing address
1395 LIVE OAK RD, CASTLE ROCK, CO 80104-8548
(864) 608-2367
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41609
CO
Other
Enumeration date
10/15/2018
Last updated
03/17/2020
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