Dominique Collacott
Behavior Technician in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1124635420
StatusActive
Last updated in NPPESSep 30, 2020
Details
- NPI
- 1124635420
- Entity type
- Individual (NPI-1)
- Name
- Dominique Collacott
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2020
- Certification date
- Sep 30, 2020
- Last updated
- Sep 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1330 Quail Lake Loop Ste 200Colorado Springs, CO 80906-4651
Phone 719-540-2108
Mailing address
1330 Quail Lake Loop Ste 200Colorado Springs, CO 80906-4651
Phone 719-540-2108
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