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Organization
LIGHTHOUSE BEHAVIORAL SOLUTIONS
Active
Organization
LIGHTHOUSE BEHAVIORAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANUELA O POWERS BCBA # 1145779 (CLINICAL DIRECTOR)
(949) 231-7979
Entity
Organization
Contact information
Practice address
18002 IRVINE BLVD., SUITE 202C, TUSTIN, CA 92780
(657) 333-6085
Mailing address
18002 IRVINE BLVD., SUITE 202C, TUSTIN, CA 92780
(657) 333-6085
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA1145779
—
Other
Enumeration date
12/28/2017
Last updated
01/05/2018
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