Individual
DYAMI FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 QUAIL LAKE LOOP, COLORADO SPRINGS, CO 80906-4651
(719) 540-2108
Mailing address
1330 QUAIL LAKE LOOP, COLORADO SPRINGS, CO 80906-4651
(719) 540-2108
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-537078
CO
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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