Organization Active NPI

Rays of Light ABA LLC

  • Behavior Analyst
  • Dallas, GA
National Provider Identifier
1093491045
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RAYS OF LIGHT ABA LLC
Doing business as
Rays of Light ABA
Practice address
268 Crystal Creek LN Basement
Dallas, GA 30157
Phone
(678) 757-5841
NPI assigned
Jun 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
William Pagel
Title
Member
Phone
(678) 757-5841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

268 Crystal Creek LN Basement
Dallas, GA 30157

Mailing address

268 Crystal Creek LN Basement
Dallas, GA 30157
Phone (678) 757-5841

Other names 1

  • Rays of Light ABA Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1093491045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 CRYSTAL CREEK LN BASEMENT",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "30157",
            "telephone_number": "678-757-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 CRYSTAL CREEK LN BASEMENT",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "30157",
            "telephone_number": "678-757-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYS OF LIGHT ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-25",
        "status": "A",
        "authorized_official_last_name": "PAGEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "678-757-5841"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rays of Light ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.