| Mountain Light, Inc. | |
|
1396 Roselawn Ave Thousand Oaks CA 91362-2031 | |
| (805) 443-5859 | |
| Not Available |
| Full Name | Mountain Light, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1396 Roselawn Ave, Thousand Oaks, California |
| Authorized Official Name and Position | Philip Lichtenberger (CEO) |
| Authorized Official Contact | 8054435859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Light, Inc. 2060 E Avenida De Los Arboles # 275d Thousand Oaks CA 91362-1361 Ph: (805) 443-5859 | Mountain Light, Inc. 1396 Roselawn Ave Thousand Oaks CA 91362-2031 Ph: (805) 443-5859 |
| NPI Number | 1023528916 |
|---|---|
| Provider Enumeration Date | 10/04/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023528916 | NPI | - | NPPES |
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