| The Lighthouse Behavioral Services, Llc | |
|
5979 Nw 151st St Ste 237 Miami Lakes FL 33014-2434 | |
| (305) 335-0245 | |
| Not Available |
| Full Name | The Lighthouse Behavioral Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5979 Nw 151st St Ste 237, Miami Lakes, Florida |
| Authorized Official Name and Position | Maurice Aguilar (PRESIDENT) |
| Authorized Official Contact | 3053350245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lighthouse Behavioral Services, Llc 5979 Nw 151st St Ste 237 Miami Lakes FL 33014-2434 Ph: () - | The Lighthouse Behavioral Services, Llc 5979 Nw 151st St Ste 237 Miami Lakes FL 33014-2434 Ph: (305) 335-0245 |
| NPI Number | 1386480010 |
|---|---|
| Provider Enumeration Date | 07/02/2024 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386480010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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