| Lighthouse Neurofeedback & Behavior Analysis, Inc. | |
|
720 100 Yearparty Ct Ste 200 Longmont CO 80504-8591 | |
| (720) 449-6676 | |
| Not Available |
| Full Name | Lighthouse Neurofeedback & Behavior Analysis, Inc. |
|---|---|
| Speciality | Behavior Technician |
| Location | 720 100 Yearparty Ct Ste 200, Longmont, Colorado |
| Authorized Official Name and Position | Hui-chung Jacquelina King (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7633188088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Neurofeedback & Behavior Analysis, Inc. 720 100 Yearparty Ct Ste 200 Longmont CO 80504-8591 Ph: () - | Lighthouse Neurofeedback & Behavior Analysis, Inc. 720 100 Yearparty Ct Ste 200 Longmont CO 80504-8591 Ph: (720) 449-6676 |
| NPI Number | 1740029826 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740029826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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