Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003092255 |
---|---|
Provider Name | Ms. Christina Marie Nulk |
First Address | Ft Carson, CO 80902-0695 |
Second Address | Colorado Springs, CO 80918-3488 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2008 |
Last Update Date | 01/05/2019 |