Individual
JAILA CHRISTINA PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5526 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918
(719) 301-5100
Mailing address
5526 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-3681
(719) 301-5100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
09/26/2023
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