Active NPI
Greenlight ABA Therapy
- Behavior Technician
- Phoenix, AZ
National Provider Identifier
1033082474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 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 DirectoryLocations
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
- Kristina Andrea Greengard
- Chloe Greenhalgh-Adam, LAC
- Evan Michael Greenhall, DO, MA
- Greenhouse Wellness LLC
- Greenlife Behavioral Health Services
- David Laurence Greenspan, MD
- Greenstaff Medical Home Care LLC
- Greenstaff Medical Staffing LLC
- Victoria Nicole Greenstein, MD
- Alan Robert Greenwald, MA, NCSP
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.