Individual
MISS AMY BETH MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, BCBA
Contact information
Practice address
17 FARRAGUT AVE, COLORADO SPRINGS, CO 80909-5625
(719) 327-2084
Mailing address
2524 TREMONT ST, COLORADO SPRINGS, CO 80907-6029
(719) 244-0083
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0005337
CO
103K00000X
Behavior Analyst
1-16-21940
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74450263
—
CO
Enumeration date
08/20/2010
Last updated
09/17/2019
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