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Individual

JADA IMANI HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
901 N SANTA FE AVE, FOUNTAIN, CO 80817-1738
(254) 245-1999
Mailing address
3221 UPSALA VW, COLORADO SPRINGS, CO 80906-5596

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CO
106S00000X
Behavior Technician

Other

Enumeration date
05/20/2020
Last updated
02/14/2022
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