Most Relevant Information
Provider Data
| NPI Number: | 1003567710 |
| Provider Name: | SHAWN STAHULJAK |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/13/2022 |
| Last Updated: | 01/13/2022 |
Provider Practice Location
2920 N ACADEMY BLVD STE 210
COLORADO SPRINGS
CO
809175369
Practice Location Phone/Fax
| Phone: | 7194664809 |
| Fax: |
Provider Mailing Location
2920 N ACADEMY BLVD STE 210
COLORADO SPRINGS
CO
809175369
Provider Mailing Phone/Fax
| Phone: | 7194664809 |
| Fax: |