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Organization

LEARNING LIGHTBULB INTERVENTIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THREASE STUCKER MS, BCBA, LBA (EXECUTIVE DIRECTOR/OWNER)
(502) 437-0640
Entity
Organization

Contact information

Practice address
77 MACK WALTERS RD, SHELBYVILLE, KY 40065-1790
(502) 437-0640
(502) 317-0897
Mailing address
77 MACK WALTERS RD, SHELBYVILLE, KY 40065-1790
(502) 437-0640
(502) 317-0897

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/24/2017
Last updated
02/08/2018
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