# OWLLIGHT THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023775467
- **Authorized official:** ZAINA DAOUD (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (708) 949-0746

## Contact information

- **Practice address:** 7222 W CERMAK RD STE 500, NORTH RIVERSIDE, IL 60546-1443
- **Practice address phone:** (866) 695-2221
- **Practice address fax:** (866) 695-2221
- **Mailing address:** 3617 DORA ST, FRANKLIN PARK, IL 60131-1613
- **Mailing address phone:** (708) 949-0746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/19/2021
- **Last updated:** 08/31/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001 | — | IL |