Organization
LIGHTHOUSE ABA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN LEIGH MUMPOWER LPA, BCBA (FOUNDER & BEHAVIOR ANALYST)
(910) 228-3091
Entity
Organization
Contact information
Practice address
7211 WALKING HORSE CT, WILMINGTON, NC 28411-7438
(910) 228-3091
Mailing address
PO BOX 11403, WILMINGTON, NC 28404-1403
(910) 228-3091
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13055
NC
103T00000X
Psychologist
4583
NC
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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