Individual
EDWARD LISECKI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
14415 E SMOKY HILL RD, AURORA, CO 80015-1238
(720) 524-7648
Mailing address
14415 E SMOKY HILL RD, AURORA, CO 80015-1238
(720) 524-7648
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48149
CO
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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