Organization Active NPI

Greenlight ABA Therapy

  • Behavior Technician
  • Phoenix, AZ
National Provider Identifier
1033082474
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
GREENLIGHT ABA THERAPY
Practice address
12 S 28TH Ave
Phoenix, AZ 85009-5040
Phone
(602) 919-5552
NPI assigned
Sep 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Casandra Vieck
Title
RBT
Phone
(602) 919-5552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

12 S 28TH Ave
Phoenix, AZ 85009-5040

Mailing address

6385 Corporate Dr Ste 200-4
Colorado Springs, CO 80919-5901
Phone (719) 341-1150

National Provider Directory

National Provider Directory

Locations

6385 Corporate Dr
Ste 2004
Colorado Springs, CO 80919

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1033082474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6385 CORPORATE DR STE 200-4",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809195901",
            "telephone_number": "719-341-1150",
            "fax_number": "520-783-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S 28TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850095040",
            "telephone_number": "602-919-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLIGHT ABA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "VIECK",
        "authorized_official_first_name": "CASANDRA",
        "authorized_official_title_or_position": "RBT",
        "authorized_official_telephone_number": "602-919-5552"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.