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Organization
GUIDING LIGHT BEHAVIORAL THERAPIES LLC
Active
Organization
GUIDING LIGHT BEHAVIORAL THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARAI FULLER (CEO)
(424) 209-9032
Entity
Organization
Contact information
Practice address
4259 WALTON AVE, LOS ANGELES, CA 90037-2427
(424) 209-9032
Mailing address
4259 WALTON AVE, LOS ANGELES, CA 90037-2427
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8356
CA
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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