Lighthouse Behavioral Services, Llc | |
4530 Amesbury Pl Westfield IN 46062-1106 | |
(317) 409-6151 | |
(765) 807-7983 |
Full Name | Lighthouse Behavioral Services, Llc |
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Speciality | Behavior Analyst |
Location | 4530 Amesbury Pl, Westfield, Indiana |
Authorized Official Name and Position | Lydia Ann Fox (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3174096151 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lighthouse Behavioral Services, Llc 4530 Amesbury Pl Westfield IN 46062-1106 Ph: (317) 409-6151 | Lighthouse Behavioral Services, Llc 4530 Amesbury Pl Westfield IN 46062-1106 Ph: (317) 409-6151 |
NPI Number | 1598186363 |
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Provider Enumeration Date | 12/22/2013 |
Last Update Date | 12/22/2013 |
Identifier | Type | State | Issuer |
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1598186363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1118239 (Indiana) | Primary |
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