Individual
EVAN GREGG FUKUHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
817 1/2 SAHWATCH ST, COLORADO SPRINGS, CO 80903-2024
(916) 704-3260
Mailing address
817 1/2 SAHWATCH ST, COLORADO SPRINGS, CO 80903-2024
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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