Organization
LIFESPAN AUTISM AND BEHAVIORAL CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZETTE MORRISON (EXECUTIVE DIRECTOR)
(606) 416-9229
Entity
Organization
Contact information
Practice address
211 GERI LN STE B, RICHMOND, KY 40475-2691
(606) 416-9220
Mailing address
PO BOX 1630, RICHMOND, KY 40476-1630
(606) 416-9220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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