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General NPI Number Information
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NPI Number | 1497601074
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE BEHAVIORAL CARE
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 41593 WINCHESTER RD STE 200-694
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City | TEMECULA
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State | CA
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Zip | 92590-4860
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Country | US
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Telephone | 951-216-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 39198 HALF MOON CIR
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City | MURRIETA
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State | CA
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Zip | 92563-2823
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Country | US
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Telephone | 909-938-4785
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PIERRE BAQUERO
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Credential |
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Telephone | 909-938-4785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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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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