Individual
AMANDA LOUISE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5540 N ACADEMY BLVD STE 160, COLORADO SPRINGS, CO 80918
(719) 266-3089
Mailing address
5283 PINE HAVEN DR, COLORADO SPRINGS, CO 80923-5178
(719) 266-3089
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-55410
CO
Other
Enumeration date
03/23/2018
Last updated
08/28/2018
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