Organization
LIGHT OF HOPE LEARNING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MOULTON (OWNER)
(912) 399-4247
Entity
Organization
Contact information
Practice address
2300 PARKWOOD DR, BRUNSWICK, GA 31520-4719
(912) 399-4247
Mailing address
2300 PARKWOOD DR, BRUNSWICK, GA 31520-4719
(912) 399-4247
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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