Organization
A GUIDING LIGHT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB DECINO (CEO)
(928) 961-4499
Entity
Organization
Contact information
Practice address
1201 S ALMA SCHOOL RD STE 10950, MESA, AZ 85210-2103
(928) 961-4499
Mailing address
1201 S ALMA SCHOOL RD STE 10950, MESA, AZ 85210-2103
(928) 961-4499
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/21/2022
Last updated
04/08/2026
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