| NPI | 1992392997 |
|---|---|
| Former Legal Business Name | LIFETRIBE COLORADO, LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER PHELPS CEO 727-201-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2023-07-27 |