Provider Demographics
NPI:1093484453
Name:LOTUS BEHAVIOR ANALYSIS THERAPY
Entity Type:Organization
Organization Name:LOTUS BEHAVIOR ANALYSIS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ BCBA
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA, COBA
Authorized Official - Phone:740-417-4679
Mailing Address - Street 1:2065 POLLOCK RD
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-3154
Mailing Address - Country:US
Mailing Address - Phone:740-417-4679
Mailing Address - Fax:
Practice Address - Street 1:2065 POLLOCK RD
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-3154
Practice Address - Country:US
Practice Address - Phone:740-417-4679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty