Individual
MRS. SHIRLANE DIANE WINBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS PSYCHOLOGY
Contact information
Practice address
1155 KELLY JOHNSON BLVD, STE 150, COLORADO SPRINGS, CO 80920-3932
(910) 977-7744
Mailing address
1155 KELLY JOHNSON BLVD # 1, STE 150, COLORADO SPRINGS, CO 80920-3932
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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