Organization
GUIDING LIGHT BEHAVIORAL THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARAI FULLER BCBA (BEHAVIOR ANALYST)
(323) 547-4472
Entity
Organization
Contact information
Practice address
21827 SIERRA LONG DR, RICHMOND, TX 77407-4999
(323) 547-4472
Mailing address
23501 CINCO RANCH BLVD, STE H120 #220, KATY, TX 77494-3095
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14671
CA
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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