| Lighthouse Aba Llc | |
|
342 Secret Valley Dr Kerrville TX 78028-7025 | |
| (830) 928-8600 | |
| Not Available |
| Full Name | Lighthouse Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 342 Secret Valley Dr, Kerrville, Texas |
| Authorized Official Name and Position | Lindsey Nicole Monroe (OWNER) |
| Authorized Official Contact | 8309288600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Aba Llc 342 Secret Valley Dr Kerrville TX 78028-7025 Ph: (830) 928-8600 | Lighthouse Aba Llc 342 Secret Valley Dr Kerrville TX 78028-7025 Ph: (830) 928-8600 |
| NPI Number | 1508612037 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508612037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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