Individual
DEANNA L MAZZULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 ACADEMY PL STE 200, COLORADO SPRINGS, CO 80909-1666
(719) 569-4411
Mailing address
2233 ACADEMY PL STE 200, COLORADO SPRINGS, CO 80909-1666
(719) 569-4411
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-70764
—
106S00000X
Behavior Technician
RBT-19-80327
CO
Other
Enumeration date
03/05/2019
Last updated
01/22/2024
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