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General NPI Number Information
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NPI Number | 1184543894
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE KIDS HIXSON, LLC
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 2473 LAFAYETTE RD STE 2473
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City | FT OGLETHORPE
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State | GA
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Zip | 30742-3700
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Country | US
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Telephone | 423-498-9051
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Fax |
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Provider Business Mailing Address
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Address Line | 2473 LAFAYETTE RD STE 2473
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City | FT OGLETHORPE
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State | GA
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Zip | 30742-3700
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REVENUE MANAGER
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Name | STEPHANIE COOPER
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Credential |
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Telephone | 423-455-8358
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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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