| Inner Light Aba & Behavioral Consulting Llc | |
| 
					12170 Road A Leipsic OH 45856-9045  | |
| (419) 231-2088 | |
| Not Available | 
| Full Name | Inner Light Aba & Behavioral Consulting Llc | 
|---|---|
| Speciality | Behavior Analyst | 
| Location | 12170 Road A, Leipsic, Ohio | 
| Authorized Official Name and Position | Nichole Tripp (OWNER/AUTHORIZED OFFICIAL) | 
| Authorized Official Contact | 4192312088 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Inner Light Aba & Behavioral Consulting Llc 12170 Road A Leipsic OH 45856-9045 Ph: (419) 231-2088  | Inner Light Aba & Behavioral Consulting Llc 12170 Road A Leipsic OH 45856-9045 Ph: (419) 231-2088  | 
| NPI Number | 1821827866 | 
|---|---|
| Provider Enumeration Date | 07/29/2024 | 
| Last Update Date | 07/30/2024 | 
| Certification Date | 07/30/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821827866 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |