| The Lighthouse Of Love | |
|
896 S.valley View Blvd Las Vegas NV 89107 | |
| (702) 258-0031 | |
| (702) 258-0051 |
| Full Name | The Lighthouse Of Love |
|---|---|
| Speciality | Behavior Analyst |
| Location | 896 S.valley View Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Ladonna Kay Tapplin (OWNER) |
| Authorized Official Contact | 7026302407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lighthouse Of Love 896 S Valley View Blvd Las Vegas NV 89107-4412 Ph: (702) 258-0031 | The Lighthouse Of Love 896 S.valley View Blvd Las Vegas NV 89107 Ph: (702) 258-0031 |
| NPI Number | 1689062937 |
|---|---|
| Provider Enumeration Date | 01/08/2015 |
| Last Update Date | 01/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689062937 | NPI | - | NPPES |
| 1144630658 | Medicaid | NV | |
| 1760718522 | Medicaid | NV | |
| 1104132828 | Medicaid | NV | |
| 1396174785 | Medicaid | NV | |
| 1619284692 | Medicaid | NV | |
| 1700193976 | Medicaid | NV | |
| 1871822197 | Medicaid | NV | |
| 1962719625 | Medicaid | NM | |
| 1083022586 | Medicaid | NV | |
| 1376879155 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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