Individual
ASHLEY LYNN COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 AEROTECH DR STE 190, COLORADO SPRINGS, CO 80916-4213
(719) 301-5100
Mailing address
4732 SEBRING DR, COLORADO SPRINGS, CO 80911-3636
(254) 258-1697
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-102136
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790211605
—
CO
Enumeration date
11/20/2019
Last updated
11/20/2019
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