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Organization

THE LIGHTHOUSE OF LOVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LADONNA KAY TAPPLIN (OWNER)
(702) 630-2407
Entity
Organization

Contact information

Practice address
896 S.VALLEY VIEW BLVD, LAS VEGAS, NV 89107
(702) 258-0031
(702) 258-0051
Mailing address
896 S VALLEY VIEW BLVD, LAS VEGAS, NV 89107-4412
(702) 258-0031
(702) 258-0051

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1083022586
NV
05
1104132828
NV
05
1144630658
NV
05
1376879155
NV
05
1396174785
NV
05
1619284692
NV
05
1700193976
NV
05
1760718522
NV
05
1871822197
NV
05
1962719625
NM
Enumeration date
01/08/2015
Last updated
01/08/2015
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