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Individual

ERIC WARREN BERGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2761 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 623-4500
(719) 599-4606
Mailing address
3625 CITADEL DR S, COLORADO SPRINGS, CO 80909-5320

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/26/2023
Last updated
12/26/2023
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