Most Relevant Information
Provider Data
| NPI Number: | 1003532086 |
| Provider Name: | AMBER SANDRY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/12/2022 |
| Last Updated: | 10/12/2022 |
Provider Practice Location
1330 QUAIL LAKE LOOP
COLORADO SPRINGS
CO
809064651
Practice Location Phone/Fax
| Phone: | 7195402108 |
| Fax: |
Provider Mailing Location
1330 QUAIL LAKE LOOP
COLORADO SPRINGS
CO
809064651
Provider Mailing Phone/Fax
| Phone: | 7195402108 |
| Fax: |