Organization
LOTUS BEHAVIORAL CONSULTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY M MALCHOW M.ED., BCBA (BOARD CERTIFIED BEHAVIORAL ANALYST)
(860) 420-9253
Entity
Organization
Contact information
Practice address
3 RAYMOND STREET, VERNON, CT 06066
(860) 420-9253
Mailing address
3 RAYMOND STREET, VERNON, CT 06066
(860) 420-9253
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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