Organization
SOARING EAGLES CENTER FOR AUTISM
Active
Other names
SOARING EAGLES CENTER FOR AUTISM - BEHAVIORAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN W. COLVIN-WHITAKER MD (EXECUTIVE DIRECTOR)
(719) 547-8803
Entity
Organization
Contact information
Practice address
125 W PALMER LAKE DR, PUEBLO WEST, CO 81007-2876
(719) 547-8803
(719) 547-8806
Mailing address
PO BOX 7878, PUEBLO WEST, CO 81007-0878
(719) 547-8803
(719) 547-8806
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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