| Lotus Behavioral Therapy Llc | |
|
27639 Fireweed Dr Evergreen CO 80439-8332 | |
| (678) 787-8175 | |
| Not Available |
| Full Name | Lotus Behavioral Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 27639 Fireweed Dr, Evergreen, Colorado |
| Authorized Official Name and Position | Kristy Michelle O'brien (PRESIDENT) |
| Authorized Official Contact | 6787878175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Behavioral Therapy Llc 27639 Fireweed Dr Evergreen CO 80439-8332 Ph: (678) 787-8175 | Lotus Behavioral Therapy Llc 27639 Fireweed Dr Evergreen CO 80439-8332 Ph: (678) 787-8175 |
| NPI Number | 1699424317 |
|---|---|
| Provider Enumeration Date | 03/21/2022 |
| Last Update Date | 03/21/2022 |
| Certification Date | 03/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699424317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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