Most Relevant Information
Provider Data
| NPI Number: | 1003316399 |
| Provider Name: | CORINA M COLON BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 218-140 |
Most Important Dates
| Enumeration Date: | 02/14/2018 |
| Last Updated: | 02/14/2018 |
Provider Practice Location
901 CALEDONIA ST
LA CROSSE
WI
546032616
Practice Location Phone/Fax
| Phone: | 6087854100 |
| Fax: |
Provider Mailing Location
S 3052 BLOOMINGDALE RD.
LA FARGE
WI
54639
Provider Mailing Phone/Fax
| Phone: | 2627582827 |
| Fax: |