Individual
JENNA SPRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 E SPAULDING AVE APT 103, PUEBLO, CO 81008-2251
(719) 246-9880
Mailing address
3181 E SPAULDING AVE APT 103, PUEBLO, CO 81008-2251
(719) 246-9880
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37639
CO
Other
Enumeration date
06/22/2018
Last updated
08/26/2021
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