Individual
JULIANA JANE LARA MAESTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1706 N CIRCLE DR, COLORADO SPRINGS, CO 80909-2409
(719) 354-5297
Mailing address
1065 PRIOS DRIVE, COLORADO SPRINGS, CO 80922-2409
(719) 306-1238
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
17-128-9089
CO
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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