Individual
CARMEN LABRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2760 FIELDSTONE RD, COLORADO SPRINGS, CO 80919-3100
(719) 492-9856
Mailing address
2760 FIELDSTONE RD, COLORADO SPRINGS, CO 80919-3100
(719) 492-9856
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-20-140658
CO
106S00000X
Behavior Technician
Primary
RBT-21-197174
CO
Other
Enumeration date
10/20/2020
Last updated
12/22/2021
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