Lighthouse Kids Hixson, Llc | |
1901 Northpoint Boulevard Suite 140 Hixson TN 37343 | |
(502) 974-5239 | |
Not Available |
Full Name | Lighthouse Kids Hixson, Llc |
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Speciality | Behavior Analyst |
Location | 1901 Northpoint Boulevard, Hixson, Tennessee |
Authorized Official Name and Position | Jeff West (CEO) |
Authorized Official Contact | 5029745239 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lighthouse Kids Hixson, Llc 4427 Highlander Dr Dallas TX 75287-6844 Ph: (502) 974-5239 | Lighthouse Kids Hixson, Llc 1901 Northpoint Boulevard Suite 140 Hixson TN 37343 Ph: (502) 974-5239 |
NPI Number | 1013657238 |
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Provider Enumeration Date | 03/29/2022 |
Last Update Date | 03/06/2024 |
Certification Date | 03/05/2024 |
Identifier | Type | State | Issuer |
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1013657238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Secondary |
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