MEDICARE: LANTERN LEARNING THERAPY CENTER PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1205770922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LANTERN LEARNING THERAPY CENTER PLLC

Provider Business Mailing Address
First Line	:	2312 CREST PARK DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-2801
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2312 CREST PARK DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-2801
Country	:	US
Telephone Number	:	817-703-6018
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR, CO-FOUNDER
Name	:	RAHAF AL-NOUBANI
Credential	:	BCABA
Telephone Number	:	817-703-6018

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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