(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003534579
Provider Name: ISABELLE JOLIE MACKRELL
Entity Type: Individual
Taxonomy Code: 106S00000X
Specialty: Behavior Technician
License Number: RBT-22-9393-428937
Most Important Dates
Enumeration Date: 08/19/2022
Last Updated: 08/19/2022
Provider Practice Location
5526 N ACADEMY BLVD STE 109
COLORADO SPRINGS
CO
809183688
Practice Location Phone/Fax
Phone: 7193015100
Fax:
Provider Mailing Location
5526 N ACADEMY BLVD STE 109
COLORADO SPRINGS
CO
809183688
Provider Mailing Phone/Fax
Phone: 7193015100
Fax: