Lighthouse Aba Services Llc | |
149 Epps St Fort Leonard Wood MO 65473-1532 | |
(215) 208-7891 | |
Not Available |
Full Name | Lighthouse Aba Services Llc |
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Speciality | Behavior Analyst |
Location | 149 Epps St, Fort Leonard Wood, Missouri |
Authorized Official Name and Position | Victoria Bishop (OWNER/ BCBA) |
Authorized Official Contact | 2152087891 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lighthouse Aba Services Llc 149 Epps St Fort Leonard Wood MO 65473-1532 Ph: (215) 208-7891 | Lighthouse Aba Services Llc 149 Epps St Fort Leonard Wood MO 65473-1532 Ph: (215) 208-7891 |
NPI Number | 1538044136 |
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Provider Enumeration Date | 08/11/2025 |
Last Update Date | 08/11/2025 |
Certification Date | 08/11/2025 |
Identifier | Type | State | Issuer |
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1538044136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |