| Shining Light Aba Llc | |
|
171 Vz County Road 4114 Canton TX 75103-5651 | |
| (903) 368-3741 | |
| (888) 518-6656 |
| Full Name | Shining Light Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 171 Vz County Road 4114, Canton, Texas |
| Authorized Official Name and Position | Carrie Michelle Bass (BCBA/SUPERVISOR) |
| Authorized Official Contact | 9035704545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Light Aba Llc 171 Vz County Road 4114 Canton TX 75103-5651 Ph: (903) 368-3741 | Shining Light Aba Llc 171 Vz County Road 4114 Canton TX 75103-5651 Ph: (903) 368-3741 |
| NPI Number | 1235968751 |
|---|---|
| Provider Enumeration Date | 08/01/2024 |
| Last Update Date | 08/01/2024 |
| Certification Date | 08/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235968751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Been Living Well Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20320 State Highway 19, Canton, TX 75103 Phone: 972-806-0877 Fax: 833-586-2467 | |
Canton Chiropractic Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S Main St, Canton, TX 75103 Phone: 903-567-6106 Fax: 906-567-5115 |