Individual
ANTONIO SABADO-WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10172 OWL PERCH LOOP, COLORADO SPGS, CO 80908-1718
(402) 699-5653
Mailing address
10172 OWL PERCH LOOP, COLORADO SPGS, CO 80908-1718
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-465879
CO
106S00000X
Behavior Technician
RBT-25-465879
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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