Healthcare Provider Details

I. General information

NPI: 1003729559
Provider Name (Legal Business Name): GUIDING LIGHT BEHAVIOR SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 10/01/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 SUTTER ST STE 500
CONCORD CA
94520-2587
US

IV. Provider business mailing address

1800 SUTTER ST STE 500
CONCORD CA
94520-2587
US

V. Phone/Fax

Practice location:
  • Phone: 925-319-8844
  • Fax:
Mailing address:
  • Phone: 925-319-8844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. KHALIDA KOHESTANI JALALZAI
Title or Position: OWNER
Credential:
Phone: 925-595-1661