Odyssey Behavior Company Llc | |
4515 Lasater Trl Colorado Springs CO 80922-1642 | |
(805) 328-8322 | |
Not Available |
Full Name | Odyssey Behavior Company Llc |
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Speciality | Behavior Analyst |
Location | 4515 Lasater Trl, Colorado Springs, Colorado |
Authorized Official Name and Position | Lawrence Zachary Clifford (CLINICAL DIRECTOR) |
Authorized Official Contact | 8053288322 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Odyssey Behavior Company Llc 4515 Lasater Trl Colorado Springs CO 80922-1642 Ph: (805) 328-8322 | Odyssey Behavior Company Llc 4515 Lasater Trl Colorado Springs CO 80922-1642 Ph: (805) 328-8322 |
NPI Number | 1962964205 |
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Provider Enumeration Date | 04/04/2019 |
Last Update Date | 04/04/2019 |
Identifier | Type | State | Issuer |
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1962964205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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