Provider Demographics
NPI:1952088965
Name:LIGHT ASSIST INC
Entity Type:Organization
Organization Name:LIGHT ASSIST INC
Other - Org Name:AUTISM CARE THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MHD WASSIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-299-6001
Mailing Address - Street 1:416 E ROOSEVELT RD STE 101
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-5589
Mailing Address - Country:US
Mailing Address - Phone:630-299-6001
Mailing Address - Fax:
Practice Address - Street 1:416 E ROOSEVELT RD STE 101
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-5589
Practice Address - Country:US
Practice Address - Phone:630-299-6001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty