Shining Light Aba LLC

NPI #1235968751 in Canton, Texas

Provider Information

NPI Number: 1235968751
Entity Type: Organization
Organization Name: Shining Light Aba LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 1, 2024
Last Updated: Aug 1, 2024

Practice Location

Address: 171 VZ COUNTY ROAD 4114
City: Canton
State: Texas
ZIP Code: 75103-5651
Phone: (903) 368-3741

Authorized Official

Name: CARRIE MICHELLE BASS
Title: BCBA/SUPERVISOR
Phone: (903) 570-4545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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