Organization
BIG SKY BEHAVIORAL THERAPY, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE LIGHTBODY BCBA (PRESIDENT)
(914) 391-9972
Entity
Organization
Contact information
Practice address
3170 TWO MOONS RD., BIG SKY, MT 59716-0771
(914) 391-9972
Mailing address
PO BOX 160771, BIG SKY, MT 59716-0771
(914) 391-9972
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-10041
CO
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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