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Organization
BLUE LIGHT BEHAVIORAL LLC
Active
Organization
BLUE LIGHT BEHAVIORAL LLC
Active
Other names
Blue Light Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MUELLER MA, BCBA, LBA (OWNER)
(337) 563-6439
Entity
Organization
Contact information
Practice address
2424 N CONSTANCE LN, LAKE CHARLES, LA 70605-2340
(337) 563-6439
Mailing address
2424 N CONSTANCE LN, LAKE CHARLES, LA 70605-2340
(337) 563-6439
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
LA
Enumeration date
01/10/2022
Last updated
01/18/2022
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