Individual
AUSTIN LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1101 VOLUNTEER PKWY, STE 5-146, BRISTOL, TN 37620-4770
(855) 832-6727
(772) 675-9100
Mailing address
7108 SOUTH KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/13/2020
Last updated
11/25/2025
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