Mountain Light, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MOUNTAIN LIGHT, INC.

Practice address

1396 Roselawn Ave
Thousand Oaks, CA 91362-2031

Phone

(805) 443-5859

NPI assigned

Oct 4, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Philip Lichtenberger, BCBANPI 1538679592

Title

Ceo

Phone

(805) 443-5859

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Lynn Lichtenberger, BCBA

  • Behavior Analyst
  • Thousand Oaks, CA
  • NPI 1538679592
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1023528916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 E AVENIDA DE LOS ARBOLES # 275D",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913621361",
            "telephone_number": "805-443-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 ROSELAWN AVE",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622031",
            "telephone_number": "805-443-5859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3807 Sierra Hwy Ste 209",
            "address_purpose": "LOCATION",
            "city": "Acton",
            "state": "CA",
            "postal_code": "935101256",
            "country_code": "US",
            "telephone_number": "805-443-5859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAIN LIGHT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LICHTENBERGER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-443-5859",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Moser
• Catherine A Moses, MD
• Corinna Mosher, M.D.
• Michael T Mosher, M.D.
• Yaas Motamedinia
• Serafina Moushel
• Kapil Moza, M.D.
• Arpana Priyanka Mukkamala
• Katharine Mulloy, BA
• Multidisciplinary Physicians Inc

• Behavior Analyst in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.