NPI 1427709633 · live from the CMS NPI Registry
Blue Light Behavioral LLC
Behavior Analyst in Lake Charles, LA. National Provider Identifier 1427709633, active.
NPI record
| NPI | 1427709633 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2424 N Constance Ln, Lake Charles, LA 70605 |
| Practice phone | 337-563-6439 |
| Enumerated | January 10, 2022 |
| Last updated | January 18, 2022 |
| Authorized official | Sarah Mueller, Owner |
| Other names | Blue Light Behavioral Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.