Most Relevant Information
Provider Data
| NPI Number: | 1003551193 |
| Provider Name: | ADRIANNA SHANTELL COLENBURG |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/03/2022 |
| Last Updated: | 05/03/2022 |
Provider Practice Location
4540 SPRING STUEBNER RD STE 100
SPRING
TX
773891116
Practice Location Phone/Fax
| Phone: | 8327647926 |
| Fax: |
Provider Mailing Location
4540 SPRING STUEBNER RD STE 100
SPRING
TX
773891116
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |