# ODYSSEY PEDIATRIC THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ODYSSEY PEDIATRIC THERAPY, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568109064
- **Legal business name:** ODYSSEY PEDIATRIC THERAPY, LLC
- **Authorized official:** ANTHONY ANDRIANO (PRESIDENT)
- **Authorized official phone:** (719) 467-7018

## Contact information

- **Practice address:** 12665 FALCON DRIVE, COLORADO SPRINGS, CO 80908-3219
- **Practice address phone:** (719) 283-1406
- **Practice address fax:** (719) 249-5834
- **Mailing address:** 13931 SIERRA STAR CT, COLORADO SPRINGS, CO 80921-2976
- **Mailing address phone:** (719) 283-1406
- **Mailing address fax:** (719) 249-5834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2022
- **Last updated:** 06/04/2025