Organization
BEACON LIGHT NEUROPSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG DIGIOVANNI PHD (OWNER)
(860) 965-8054
Entity
Organization
Contact information
Practice address
22 FREE ST STE 404, PORTLAND, ME 04101-3900
(207) 544-6810
(207) 544-6888
Mailing address
22 FREE ST STE 404, PORTLAND, ME 04101-3900
(207) 544-6810
(207) 544-6888
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
11/06/2024
Last updated
11/23/2025
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