Coachella Valley Lighthouse

NPI #1427319573 in La Quinta, California

Provider Information

NPI Number: 1427319573
Entity Type: Organization
Organization Name: Coachella Valley Lighthouse
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 5, 2012
Last Updated: May 18, 2023

Practice Location

Address: 78900 AVENUE 47
Address 2: SUITE 105
City: La Quinta
State: California
ZIP Code: 92253-2070
Phone: (760) 625-0951

Authorized Official

Name: STEPHANIE ROSALES, BCBA
Title: CEO/EXECUTIVE CLINICAL DIRECTOR
Phone: (760) 625-0951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Counseling — Counseling	103TC1900X
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X
Psychologist - School — School	103TS0200X
Specialist/Technologist - Speech-Language Assistant — Speech-Language Assistant	2355S0801X
Speech-Language Pathologist	235Z00000X
Behavior Analyst	103K00000X	Primary

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