Individual
AUTUMN NICOLE WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 PLAZA DR STE 100, HIGHLANDS RANCH, CO 80129-2379
(720) 964-0688
Mailing address
630 PLAZA DR STE 100, HIGHLANDS RANCH, CO 80129-2379
(720) 964-0688
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
13613943-2506
UT
Other
Enumeration date
01/10/2024
Last updated
08/20/2024
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