| Lamplight Behavior Analysis, LLC | |
|
3005 Holly Springs Pkwy Ste 101 Holly Springs GA 30115-2343 | |
| (202) 904-6986 | |
| Not Available |
| Full Name | Lamplight Behavior Analysis, LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3005 Holly Springs Pkwy Ste 101, Holly Springs, Georgia |
| Authorized Official Name and Position | Alexis C Rand (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 2029046986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lamplight Behavior Analysis, LLC 330 Gilmer Ferry Rd Ball Ground GA 30107-2909 | Lamplight Behavior Analysis, LLC 3005 Holly Springs Pkwy Ste 101 Holly Springs GA 30115-2343 Ph: (202) 904-6986 |
| NPI Number | 1912712589 |
|---|---|
| Provider Enumeration Date | 02/11/2025 |
| Last Update Date | 03/26/2025 |
| Certification Date | 03/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912712589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
| 106E00000X | Assistant Behavior Analyst | () | Secondary |
| 106S00000X | Behavior Technician | () | Secondary |
Willow & Moss Counseling LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Mountain Brook Dr Ste 200, Holly Springs, GA 30115 Phone: 404-585-0051 |
Willow & Moss Counseling Services LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Mountain Brook Dr Ste 200, Holly Springs, GA 30115 Phone: 404-585-0053 |