Organization
LIGHTHOUSE BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYDIA ANN FOX MA, BCBA (EXECUTIVE DIRECTOR)
(317) 409-6151
Entity
Organization
Contact information
Practice address
1081 3RD AVE SW STE 7, CARMEL, IN 46032-7500
(317) 564-0934
(765) 807-7983
Mailing address
1389 W 86TH ST # 170, INDIANAPOLIS, IN 46260-2101
(317) 564-0934
(765) 807-7983
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1118239
IN
Other
Enumeration date
12/22/2013
Last updated
08/16/2024
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