Individual
LAUREN ELIZABETH KOLLSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7413 SQUIRE CT, WEST CHESTER, OH 45069-2380
(513) 847-4763
Mailing address
7413 SQUIRE CT, WEST CHESTER, OH 45069-2380
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
OH
106S00000X
Behavior Technician
TJ211766
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297759
—
OH
Enumeration date
06/05/2017
Last updated
11/28/2022
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