Organization
LIGHTHOUSE LICENSED BEHAVIOR ANALYSTS OF NORTH CAROLINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHAYA HURWITZ BCBA LBA (DIRECTOR)
(718) 218-5528
Entity
Organization
Contact information
Practice address
205 REGENCY DR, CHARLOTTE, NC 28211-5472
(718) 218-5528
Mailing address
PO BOX 250385, BROOKLYN, NY 11225-0385
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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