Organization
LIGHTHOUSE NEUROFEEDBACK & BEHAVIOR ANALYSIS, INC.
Active
Other names
Lighthouse Neurofeedback & Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
HUI-CHUNG JACQUELINA KING (DIRECTOR OF OPERATIONS)
(720) 295-2291
Entity
Organization
Contact information
Practice address
1833 SUNSET PL STE A, LONGMONT, CO 80501-6545
(720) 449-6676
(303) 374-5224
Mailing address
720 100 YEARPARTY CT STE 200, LONGMONT, CO 80504-8591
(720) 449-6676
(303) 833-4217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
0011628
CO
103K00000X
Behavior Analyst
Primary
1-09-5794
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000153728
—
CO
Enumeration date
01/10/2018
Last updated
07/10/2025
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