Individual
DIANE ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12655 FOREST GREEN DR, ELBERT, CO 80106-8928
(678) 602-6023
Mailing address
12655 FOREST GREEN DR, ELBERT, CO 80106-8928
(678) 602-6023
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/31/2021
Last updated
03/25/2023
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