Provider Demographics
NPI:1598500530
Name:CAMPUZANO-CARIKER, ANGELA BRITNEY
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:BRITNEY
Last Name:CAMPUZANO-CARIKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:BRITNEY
Other - Last Name:CAMPUZANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1960 DIPLOMAT VW APT 1726
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80905-8344
Mailing Address - Country:US
Mailing Address - Phone:479-877-4368
Mailing Address - Fax:
Practice Address - Street 1:1960 DIPLOMAT VW APT 1726
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80905-8344
Practice Address - Country:US
Practice Address - Phone:479-877-4368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician