Lighthouse Behavioral Solutions

NPI #1972019941 in Tustin, California

Provider Information

NPI Number: 1972019941
Entity Type: Organization
Organization Name: Lighthouse Behavioral Solutions
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 28, 2017
Last Updated: Jan 5, 2018

Practice Location

Address: 18002 IRVINE BLVD.
Address 2: SUITE 202C
City: Tustin
State: California
ZIP Code: 92780
Phone: (657) 333-6085

Authorized Official

Name: MRS. MANUELA O POWERS, BCBA # 1145779
Title: CLINICAL DIRECTOR
Phone: (949) 231-7979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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