Lighthouse Neurofeedback & Behavior Analysis, Inc. | |
1233 Sherman Dr Longmont CO 80501-6133 | |
(720) 772-7334 | |
Not Available |
Full Name | Lighthouse Neurofeedback & Behavior Analysis, Inc. |
---|---|
Speciality | Behavior Analyst |
Location | 1233 Sherman Dr, Longmont, Colorado |
Authorized Official Name and Position | Ashley Sterner (OFFICE MANAGER) |
Authorized Official Contact | 7204496676 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lighthouse Neurofeedback & Behavior Analysis, Inc. Po Box 76510 Colorado Springs CO 80970-6510 Ph: (720) 772-7334 | Lighthouse Neurofeedback & Behavior Analysis, Inc. 1233 Sherman Dr Longmont CO 80501-6133 Ph: (720) 772-7334 |
NPI Number | 1477937522 |
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Provider Enumeration Date | 07/17/2015 |
Last Update Date | 09/30/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477937522 | NPI | - | NPPES |
9000153728 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-09-5794 (Colorado) | Primary |
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