Individual
AMY NICOLE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13725 STRUTHERS RD, COLORADO SPRINGS, CO 80921-2451
(719) 301-5100
Mailing address
3220 VAN TEYLINGEN DR APT E, COLORADO SPRINGS, CO 80917-5122
(719) 213-8343
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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