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NPI Code Detail

MEDICARE: HALLE TEETOR-CAMPBELL

MEDICARE: HALLE TEETOR-CAMPBELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-19-109038CO
2103K00000XBehavior AnalystCO
3106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1326688755
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALLE TEETOR-CAMPBELL
Provider Business Mailing Address
First Line : 2120 E LA SALLE ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-2218
Country : US
Telephone Number : 719-466-4809
Fax Number : 719-368-8399
Provider Business Practice Location Address
First Line : 5910 GALLEY RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80915-3736
Country : US
Telephone Number : 719-466-4809
Fax Number : 719-368-8399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2020
Last Update Date : 01/25/2024

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Directions to “ HALLE TEETOR-CAMPBELL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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