| Lighthouse Aba Services Llc | |
|
149 Epps St Fort Leonard Wood MO 65473-1532 | |
| (573) 337-7755 | |
| (573) 755-0992 |
| Full Name | Lighthouse Aba Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 149 Epps St, Fort Leonard Wood, Missouri |
| Authorized Official Name and Position | Victoria Bishop (OWNER, BCBA) |
| Authorized Official Contact | 5733377755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Aba Services Llc 149 Epps St Fort Leonard Wood MO 65473-1532 Ph: (573) 337-7755 | Lighthouse Aba Services Llc 149 Epps St Fort Leonard Wood MO 65473-1532 Ph: (573) 337-7755 |
| NPI Number | 1124978374 |
|---|---|
| Provider Enumeration Date | 01/29/2026 |
| Last Update Date | 01/29/2026 |
| Certification Date | 01/29/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124978374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Lighthouse Aba Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Epps St, Fort Leonard Wood, MO 65473 Phone: 215-208-7891 |