Individual
MRS. THERESA MARIE YAKICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
3578 HARTSEL DR, UNIT E-117, COLORADO SPRINGS, CO 80920-2103
(719) 799-3259
(719) 260-6667
Mailing address
3578 HARTSEL DR, UNIT E-117, COLORADO SPRINGS, CO 80920-2103
(719) 799-3259
(719) 260-6667
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
1-06-2915
CO
Other
Enumeration date
09/15/2008
Last updated
04/08/2010
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