Individual
AJA MARY VITRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2760 FIELDSTONE RD, COLORADO SPRINGS, CO 80919-3100
(719) 203-6903
Mailing address
1009 W PIKES PEAK AVE, COLORADO SPRINGS, CO 80904-4356
(719) 822-7902
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Enumeration date
01/01/2018
Last updated
01/01/2018
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