Provider Demographics
NPI:1083593602
Name:COLSON, ARTEZ ISAIAH WAYNE
Entity type:Individual
Prefix:
First Name:ARTEZ
Middle Name:ISAIAH WAYNE
Last Name:COLSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 W SILVER SPRINGS BLVD BLDG 100
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34475-5647
Mailing Address - Country:US
Mailing Address - Phone:352-361-3480
Mailing Address - Fax:
Practice Address - Street 1:3001 W SILVER SPRINGS BLVD BLDG 100
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34475-5647
Practice Address - Country:US
Practice Address - Phone:352-361-3480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst