Nikole M Repp

NPI #1073143996 in Fountain, Colorado

Provider Information

NPI Number: 1073143996
Entity Type: Individual
Name: Nikole M Repp
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 20, 2020
Last Updated: Jan 20, 2020

Practice Location

Address: 901 N SANTA FE AVE
City: Fountain
State: Colorado
ZIP Code: 80817-1738
Phone: (719) 597-0822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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