Laree Kelly-warner, Ma, Bcba, P.c. | |
1322 N Academy Blvd Ste 204 Colorado Springs CO 80909-3320 | |
(719) 210-7464 | |
(719) 638-8844 |
Full Name | Laree Kelly-warner, Ma, Bcba, P.c. |
---|---|
Speciality | Behavior Analyst |
Location | 1322 N Academy Blvd Ste 204, Colorado Springs, Colorado |
Authorized Official Name and Position | Laree Kelly-warner (OWNER) |
Authorized Official Contact | 7192107464 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Laree Kelly-warner, Ma, Bcba, P.c. Po Box 76510 Colorado Springs CO 80970-6510 Ph: (719) 210-7464 | Laree Kelly-warner, Ma, Bcba, P.c. 1322 N Academy Blvd Ste 204 Colorado Springs CO 80909-3320 Ph: (719) 210-7464 |
NPI Number | 1811436256 |
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Provider Enumeration Date | 02/17/2017 |
Last Update Date | 05/23/2022 |
Certification Date | 05/23/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811436256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-06-2879 (Colorado) | Primary |
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