Organization
LOTUS BEHAVIORAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY MICHELLE O'BRIEN (PRESIDENT)
(678) 787-8175
Entity
Organization
Contact information
Practice address
27639 FIREWEED DR, EVERGREEN, CO 80439-8332
(678) 787-8175
Mailing address
27639 FIREWEED DR, EVERGREEN, CO 80439-8332
(678) 787-8175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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