Individual
CAILEY SUSAN EKBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6050 ERIN PARK DR, COLORADO SPRINGS, CO 80918-3488
(719) 465-3989
Mailing address
6050 ERIN PARK DR, COLORADO SPRINGS, CO 80918-3488
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
05/29/2019
Last updated
08/20/2019
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