| Lighthouse Aba, Pllc | |
|
7211 Walking Horse Ct Wilmington NC 28411-7438 | |
| (910) 228-3091 | |
| Not Available |
| Full Name | Lighthouse Aba, Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7211 Walking Horse Ct, Wilmington, North Carolina |
| Authorized Official Name and Position | Kristin Leigh Mumpower (FOUNDER & BEHAVIOR ANALYST) |
| Authorized Official Contact | 9102283091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Aba, Pllc Po Box 11403 Wilmington NC 28404-1403 Ph: (910) 228-3091 | Lighthouse Aba, Pllc 7211 Walking Horse Ct Wilmington NC 28411-7438 Ph: (910) 228-3091 |
| NPI Number | 1427573351 |
|---|---|
| Provider Enumeration Date | 08/11/2017 |
| Last Update Date | 08/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427573351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-13-13055 (North Carolina) | Primary |
| 103T00000X | Psychologist | 4583 (North Carolina) | Secondary |
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