NPIMap

Organization Active NPI

Ray of Light Behavioral Services, LLC

  • Behavior Analyst
  • Shreveport, LA
National Provider Identifier
1063875284
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RAY OF LIGHT BEHAVIORAL SERVICES, LLC
Practice address
4104 Rainer St
Shreveport, LA 71107-7744
Phone
(318) 655-3006
NPI assigned
Apr 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Authorized official

Name
Erika Richter, MA, BCBANPI 1740601848
Title
Board Certified Behavior Analyst
Phone
(318) 655-3006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X L-146 LA

Addresses

Primary practice location

4104 Rainer St
Shreveport, LA 71107-7744

Mailing address

4104 Rainer St
Shreveport, LA 71107-7744
Phone (318) 655-3006

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1063875284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 RAINER ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711077744",
            "telephone_number": "318-655-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 RAINER ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711077744",
            "telephone_number": "318-655-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY OF LIGHT BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "318-655-3006",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "L-146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.