Wellformed AI

NPI 1467196980 · live from the CMS NPI Registry

A Guiding Light Services, LLC

Behavior Analyst in Mesa, AZ. National Provider Identifier 1467196980, active.

NPI record

NPI1467196980 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1201 S Alma School Rd Ste 10950, Mesa, AZ 85210
Practice phone928-961-4499
EnumeratedApril 21, 2022
Last updatedApril 8, 2026
Authorized officialJacob Decino, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, 235Z00000X—
Physical Therapist225100000X—
Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child385HR2060X—
Occupational Therapist225X00000X—
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.