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General NPI Number Information
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NPI Number | 1427918259
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Entity Type | Organization
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Legal Business Name | LIGHTPATH BEHAVIORAL SOLUTIONS INC
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 7543 SUMMITROSE ST
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City | TUJUNGA
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State | CA
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Zip | 91042-1932
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Country | US
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Telephone | 818-577-0358
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Fax |
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Provider Business Mailing Address
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Address Line | 7543 SUMMITROSE ST
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City | TUJUNGA
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State | CA
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Zip | 91042-1932
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Country | US
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Telephone | 818-804-5544
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Fax | 209-292-2503
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. SAMUEL MATINYAN
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Credential |
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Telephone | 818-818-2180
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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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