Shining Light Aba LLC
Behavior Analyst in Canton, TX. Organization (NPI-2).
NPI number1235968751
StatusActive
Last updated in NPPESAug 1, 2024
Details
- NPI
- 1235968751
- Entity type
- Organization (NPI-2)
- Legal business name
- Shining Light Aba LLC
- Organization subpart
- No
- Enumeration date
- Aug 1, 2024
- Certification date
- Aug 1, 2024
- Last updated
- Aug 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
171 Vz County Road 4114Canton, TX 75103-5651
Phone 903-368-3741 · Fax 888-518-6656
Mailing address
171 Vz County Road 4114Canton, TX 75103-5651
Phone 903-368-3741 · Fax 888-518-6656
Authorized official
Carrie Michelle Bass
Bcba/Supervisor
9035704545
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