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: 09/25/2026
Certification Date: 09/23/2026
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: 925-744-1510
  • Fax:
Mailing address:
  • Phone: 925-319-8844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

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