Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lsa Pediatric Therapy

Organization Behavior Analyst · NPI 1558203620

Lsa Pediatric Therapy is a Behavior Analyst in Horn Lake, Mississippi. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3

Practice location Address checks out

1502 Goodman Rd W
Horn Lake, MS 38637-1407
Phone: (901) 674-2877
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1558203620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheon Moore — Owner · (901) 674-2877
NPI enumeratedApril 8, 2026
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing address14132 Strafford Ln, Olive Branch, MS 38654-8462