Individual
ALICIA WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 LAKE PLAZA DR STE D, COLORADO SPRINGS, CO 80906-3567
(719) 375-2955
Mailing address
2015 N FRANKLIN ST, COLORADO SPRINGS, CO 80907-7120
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-17-41014
CO
Other
Enumeration date
06/05/2018
Last updated
11/17/2020
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