Individual
MS. ANISSA LOUISE AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 S VRAIN ST, DENVER, CO 80219-5033
(586) 242-3826
Mailing address
1906 S VRAIN ST, DENVER, CO 80219-5033
(586) 242-3826
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/15/2016
Last updated
04/26/2019
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