Individual
SHACARA QUARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 LAKE PLAZA DR STE 230, COLORADO SPRINGS, CO 80906-3556
(719) 287-8303
Mailing address
1235 LAKE PLAZA DR STE 230, COLORADO SPRINGS, CO 80906-3556
(719) 287-8303
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-13-5343
CO
103K00000X
Behavior Analyst
Primary
1-13-14575
CO
Other
Enumeration date
03/22/2013
Last updated
11/18/2013
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