| NPI | 1194439661 |
|---|---|
| Doing Business As | LIGHTHOUSE AUTISM CENTER |
| Entity Type | Organization |
| Authorized Contact | COLIN SHERIDAN President 574-204-2868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-18 |