Guiding Light Behavioral Therapies Llc | |
21827 Sierra Long Dr Richmond TX 77407-4999 | |
(323) 547-4472 | |
Not Available |
Full Name | Guiding Light Behavioral Therapies Llc |
---|---|
Speciality | Behavior Analyst |
Location | 21827 Sierra Long Dr, Richmond, Texas |
Authorized Official Name and Position | Marai Fuller (BEHAVIOR ANALYST) |
Authorized Official Contact | 3235474472 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Guiding Light Behavioral Therapies Llc 23501 Cinco Ranch Blvd Ste H120 #220 Katy TX 77494-3095 Ph: () - | Guiding Light Behavioral Therapies Llc 21827 Sierra Long Dr Richmond TX 77407-4999 Ph: (323) 547-4472 |
NPI Number | 1275067548 |
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Provider Enumeration Date | 04/13/2017 |
Last Update Date | 04/13/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275067548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-13-14671 (California) | Primary |
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