Individual
GISSELLE REBEKAH MCELWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 S ACADEMY BLVD STE 140, COLORADO SPRINGS, CO 80910-3922
(188) 875-4039
Mailing address
84 JASPER DR # A, COLORADO SPRINGS, CO 80911-1410
(719) 920-1910
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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