Provider Demographics
NPI:1659183044
Name:LIGHTS ON LEARNING
Entity type:Organization
Organization Name:LIGHTS ON LEARNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRASHEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-300-1437
Mailing Address - Street 1:4609 APPALOOSA TRL
Mailing Address - Street 2:
Mailing Address - City:ORCUTT
Mailing Address - State:CA
Mailing Address - Zip Code:93455-6059
Mailing Address - Country:US
Mailing Address - Phone:805-350-1811
Mailing Address - Fax:
Practice Address - Street 1:4609 APPALOOSA TRL
Practice Address - Street 2:
Practice Address - City:ORCUTT
Practice Address - State:CA
Practice Address - Zip Code:93455-6059
Practice Address - Country:US
Practice Address - Phone:805-350-1811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty