Individual
CHRISTINE COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-3000
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
(800) 356-4049
(941) 485-0519
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-153620
GA
Other
Enumeration date
04/05/2011
Last updated
12/04/2023
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