Provider Demographics
NPI:1497043491
Name:WOODMAN, ADAM (MSED, BCBA)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:WOODMAN
Suffix:
Gender:M
Credentials:MSED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8018 PARSONAGE LANE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80951
Mailing Address - Country:US
Mailing Address - Phone:860-978-2685
Mailing Address - Fax:
Practice Address - Street 1:6025 ERIN PARK DR STE A
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-5402
Practice Address - Country:US
Practice Address - Phone:719-645-8140
Practice Address - Fax:719-694-9122
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst