| NPI | 1972201887 |
|---|---|
| Doing Business As | LIGHTHOUSE AUTISM CENTER |
| Entity Type | Organization |
| Authorized Contact | COLIN SHERIDAN President 574-345-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |