Individual
COLLEEN FISHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1079 SPACE CENTER DR, COLORADO SPRINGS, CO 80915-3612
(888) 754-0398
Mailing address
1079 SPACE CENTER DR, COLORADO SPRINGS, CO 80915-3612
(888) 754-0398
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-60763
GA
Other
Enumeration date
07/17/2018
Last updated
01/22/2021
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