| Legacy Lantern LLC | |
|
5309 W Huntington Dr Laveen AZ 85339-2434 | |
| (602) 332-6854 | |
| Not Available |
| Full Name | Legacy Lantern LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5309 W Huntington Dr, Laveen, Arizona |
| Authorized Official Name and Position | Abdulrahman Bihi (OWNER) |
| Authorized Official Contact | 6023326854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Lantern LLC 5309 W Huntington Dr Laveen AZ 85339-2434 Ph: (602) 332-6854 | Legacy Lantern LLC 5309 W Huntington Dr Laveen AZ 85339-2434 Ph: (602) 332-6854 |
| NPI Number | 1083527428 |
|---|---|
| Provider Enumeration Date | 09/25/2026 |
| Last Update Date | 09/25/2026 |
| Certification Date | 09/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083527428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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