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General NPI Number Information
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NPI Number | 1912712589
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Entity Type | Organization
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Legal Business Name | LAMPLIGHT BEHAVIOR ANALYSIS, LLC
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 3005 HOLLY SPRINGS PKWY STE 101
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City | HOLLY SPRINGS
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State | GA
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Zip | 30115-2343
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Country | US
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Telephone | 202-904-6986
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Fax |
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Provider Business Mailing Address
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Address Line | 330 GILMER FERRY RD
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City | BALL GROUND
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State | GA
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Zip | 30107-2909
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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 | CHIEF CLINICAL OFFICER
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Name | ALEXIS C RAND
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Credential | MS, BCBA, LBA
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Telephone | 202-904-6986
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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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