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General NPI Number Information
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NPI Number | 1164386710
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Entity Type | Organization
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Legal Business Name | PATHLIGHT BEHAVIORAL PLLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1478 ASHDOWN CT
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City | SANFORD
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State | FL
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Zip | 32771-8081
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Country | US
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Telephone | 407-942-8294
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Fax | 407-942-8292
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Provider Business Mailing Address
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Address Line | 479 MONTGOMERY PL
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-3100
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Country | US
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Telephone | 407-942-8294
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Fax | 407-942-8292
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Authorized Official
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Title or Position | DIRECTOR
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Name | NISHA ARORA
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Credential | BCBA
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Telephone | 407-942-8294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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