Lighthouse Behavioral Solutions | |
18002 Irvine Blvd. Suite 202c Tustin CA 92780 | |
(657) 333-6085 | |
Not Available |
Full Name | Lighthouse Behavioral Solutions |
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Speciality | Behavior Analyst |
Location | 18002 Irvine Blvd., Tustin, California |
Authorized Official Name and Position | Manuela O Powers (CLINICAL DIRECTOR) |
Authorized Official Contact | 9492317979 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lighthouse Behavioral Solutions 18002 Irvine Blvd. Suite 202c Tustin CA 92780 Ph: (657) 333-6085 | Lighthouse Behavioral Solutions 18002 Irvine Blvd. Suite 202c Tustin CA 92780 Ph: (657) 333-6085 |
NPI Number | 1972019941 |
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Provider Enumeration Date | 12/28/2017 |
Last Update Date | 01/05/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972019941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | BCBA1145779 (* (Not Available)) | Primary |
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