Individual
ANIKA JAE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7220 W JEFFERSON AVE STE 100, LAKEWOOD, CO 80235-2015
(303) 225-7673
(866) 283-0595
Mailing address
4545 WITCHES HOLLOW LN, COLORADO SPRINGS, CO 80911-3237
(808) 913-7176
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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