Individual
JACINDA MARIE TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2005 AEROPLAZA DR, COLORADO SPRINGS, CO 80916-4207
(719) 425-7771
Mailing address
2005 AEROPLAZA DR, COLORADO SPRINGS, CO 80916-4207
(719) 425-7771
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
21177460
CO
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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