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COACHELLA VALLEY LIGHTHOUSE NPI 1427319573


NPI Information

NPI: 1427319573
Provider Name: COACHELLA VALLEY LIGHTHOUSE
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
78900 AVENUE 47
SUITE 105
LA QUINTA, CA
ZIP 92253
Phone: (760) 625-0951
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COACHELLA VALLEY LIGHTHOUSE is a behavior analyst in La Quinta, CA. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. COACHELLA VALLEY LIGHTHOUSE NPI is 1427319573. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

78900 AVENUE 47
SUITE 105
LA QUINTA, CA
ZIP 92253-070
Phone: (760) 625-0951
Fax: (760) 564-5049

The provider's authorized official is Stephanie Rosales .
The authorized official title is Ceo/executive Clinical Director and has the following contact phone number (760) 625-0951.

The enumeration date for this NPI number is 6/5/2012 and was last updated on 5/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistLEP3111CALIFORNIANo
2103TC1900XPsychologistCounselingLEP3111CALIFORNIANo
3103TM1800XPsychologistIntellectual and Developmental DisabilitiesLEP3111CALIFORNIANo
4103TS0200XPsychologistSchoolLEP3111CALIFORNIANo
52355S0801XSpecialist/TechnologistSpeech-Language AssistantNo
6235Z00000XSpeech-Language PathologistNo
7103K00000XBehavior Analyst1-12-10337FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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