Organization
LIGHTHOUSE BEHAVIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA LATRICE HOPKINS (DIRECTOR)
(901) 484-3652
Entity
Organization
Contact information
Practice address
1605 EASTMORELAND AVE, 1, MEMPHIS, TN 38104-3849
(901) 484-3652
(866) 589-5089
Mailing address
PO BOX 771822, MEMPHIS, TN 38177-1822
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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