Organization
LILO LLC
Active
Other names
Success on the Spectrum
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA ANN LONG RN (OWNER)
(573) 645-2817
Entity
Organization
Contact information
Practice address
520 NE COLBERN RD # 200, LEES SUMMIT, MO 64086-4711
(573) 434-2267
Mailing address
4216 SW STONEY BROOK DR, LEES SUMMIT, MO 64082-4820
(573) 645-2817
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/30/2021
Last updated
02/02/2024
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