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NPI Code Detail

MEDICARE: CHERYL PRICE

MEDICARE: CHERYL PRICE
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1629462270
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL PRICE
Provider Business Mailing Address
First Line : 956 PISTOL RIVER WAY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-3811
Country : US
Telephone Number : 719-332-7404
Fax Number :
Provider Business Practice Location Address
First Line : 956 PISTOL RIVER WAY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-3811
Country : US
Telephone Number : 719-332-7404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2015
Last Update Date : 03/22/2015

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Directions to “ CHERYL PRICE ” Practice Location

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