Organization
BLUE LIGHT BEHAVIORAL LLC
Active
Other names
Blue Light Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MUELLER MA, BCBA, LBA (OWNER)
(337) 563-6439
Entity
Organization
Contact information
Practice address
2424 N CONSTANCE LN, LAKE CHARLES, LA 70605-2340
(337) 563-6439
Mailing address
2424 N CONSTANCE LN, LAKE CHARLES, LA 70605-2340
(337) 563-6439
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
LA
Enumeration date
01/10/2022
Last updated
01/18/2022
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