Individual
GIZZA LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BT
Contact information
Practice address
102 S TEJON ST STE 1100, COLORADO SPRINGS, CO 80903-2253
(719) 733-3824
Mailing address
102 S TEJON ST STE 1100, COLORADO SPRINGS, CO 80903-2253
(719) 733-3824
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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