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Individual

BEVERLY CLIFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6190 BARNES RD, COLORADO SPRINGS, CO 80922-2600
(719) 597-0822
Mailing address
4515 LASATER TRL, COLORADO SPRINGS, CO 80922-1642

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
12/07/2020
Last updated
03/07/2023
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