NPI Registry.org

Odyssey Pediatric Therapy, Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
ODYSSEY PEDIATRIC THERAPY, LLC14974878882024-01-29

The organization Odyssey Pediatric Therapy, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1497487888. Registration indicates Odyssey Pediatric Therapy, Llc is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Behavioral Analyst (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)

Entity TypeOrganization
Provider OrganizationODYSSEY PEDIATRIC THERAPY, LLC
Practice Office Address2989 BROADMOOR VALLEY RD
SUITE D
COLORADO SPRING, CO US
Practice Office Telephone7192831406
Practice Office Fax7192495834
Mailing Address13931 SIERRA STAR CT
COLORADO SPRINGS, CO 809212976 US
Business Telephone7192831406
Business Fax7192495834
Authorized OfficialANTHONY ANDRIANO, PRESIDENT
7194677018
HPT Codes
CodePractice
License No
State
103K00000X PRIMARYAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Behavioral Analyst
Behavioral Health & Social Service Providers
Behavioral Analyst
Behavioral Analyst

Behavioral Health/Substance Abuse/Psychiatry

Behavioral Analyst
Behavioral Health & Social Service Providers
193400000X SINGGroup Code
OPI Codes
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