Organization
LIGHTHOUSE ABA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMERH M KHALIL (PRESIDENT)
(973) 454-0528
Entity
Organization
Contact information
Practice address
562 OREGON AVE, CLIFFSIDE PK, NJ 07010-1713
(973) 454-0528
Mailing address
562 OREGON AVE, CLIFFSIDE PK, NJ 07010-1713
(973) 454-0528
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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