Individual
CASSIDY QUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 WINDCHIME PL, COLORADO SPRINGS, CO 80919-1984
(888) 754-0398
Mailing address
421 WINDCHIME PL, COLORADO SPRINGS, CO 80919-1984
(188) 875-4039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
05/18/2023
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