| Luminous Pathways Corporation | |
|
2809 Caramoor Ln San Ramon CA 94582-4668 | |
| (925) 640-0797 | |
| Not Available |
| Full Name | Luminous Pathways Corporation |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2809 Caramoor Ln, San Ramon, California |
| Authorized Official Name and Position | Venkat Gandham (CEO) |
| Authorized Official Contact | 9256400797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminous Pathways Corporation 2809 Caramoor Ln San Ramon CA 94582-4668 Ph: (925) 640-0797 | Luminous Pathways Corporation 2809 Caramoor Ln San Ramon CA 94582-4668 Ph: (925) 640-0797 |
| NPI Number | 1770233447 |
|---|---|
| Provider Enumeration Date | 03/25/2022 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770233447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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