Male or Other

Justin W. Shaffer

Behavior Technician in Colorado Springs, CO(View on Map)

Full Name

Justin W Shaffer

NPI Number

1306519285

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/27/2021

Specialties

(Taxonomies)

Code

106S00000X
103K00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

37 S MAY AVE
3680 PONY TRACKS DR

City

Athens
Colorado Springs

State

OH
CO

Postal Code

45701-2014
80922-3062

Country

US
US

Telephone Number

(559) 473-5120
(559) 473-5120

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/31/2023

Provider Address

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