| Lighthouse Behavior Analysts, Pllc | |
|
13636 72nd Ave Flushing NY 11367-2328 | |
| (646) 675-4945 | |
| Not Available |
| Full Name | Lighthouse Behavior Analysts, Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 13636 72nd Ave, Flushing, New York |
| Authorized Official Name and Position | Chaya Gopin (OWNER) |
| Authorized Official Contact | 6466754945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Behavior Analysts, Pllc 13636 72nd Ave Flushing NY 11367-2328 Ph: (646) 675-4945 | Lighthouse Behavior Analysts, Pllc 13636 72nd Ave Flushing NY 11367-2328 Ph: (646) 675-4945 |
| NPI Number | 1730706391 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 07/06/2020 |
| Certification Date | 07/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730706391 | NPI | - | NPPES |
| 001604-1 | Other | NY | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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