Individual
CHANDA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 CHAPEL HILLS DR, COLORADO SPRINGS, CO 80920-5452
(719) 418-2507
Mailing address
1740 CHAPEL HILLS DR, COLORADO SPRINGS, CO 80920-5452
(719) 418-2507
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-198796
CO
Other
Enumeration date
01/08/2022
Last updated
01/08/2022
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