Individual
CAITLIN GRACE ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5526 N ACADEMY BLVD STE 109, COLORADO SPRINGS, CO 80918-3688
(719) 301-5100
Mailing address
5526 N ACADEMY BLVD STE 109, COLORADO SPRINGS, CO 80918-3688
(719) 301-5100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437321189
BEACON, TRICARE
—
Enumeration date
02/06/2018
Last updated
09/21/2022
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