Individual
AMANDA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 LARK DR, COLORADO SPRINGS, CO 80909-1125
(720) 620-5276
Mailing address
2620 LARK DR, COLORADO SPRINGS, CO 80909-1125
(720) 620-5276
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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