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Individual

CHAELIE POLK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1740 CHAPEL HILLS DR, COLORADO SPRINGS, CO 80920-5452
(719) 465-3695
Mailing address
1740 CHAPEL HILLS DR, COLORADO SPRINGS, CO 80920-5452
(719) 465-3695

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16292
CO
106S00000X
Behavior Technician

Other

Enumeration date
01/05/2023
Last updated
07/23/2025
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