Active NPI
David Warren Light, BCBA
- Behavior Analyst
- Somerset, KY
National Provider Identifier
1154117893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 298472
- Practice address
- 303 Second St
Somerset, KY 42501-2390 - Phone
- (859) 200-5719
- NPI assigned
- Apr 18, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 298472 | KY | Primary |
Addresses
Primary practice location
303 Second St
Somerset, KY 42501-2390
Mailing address
40 Denny Subdivision Rd
Mount Vernon, KY 40456-8448
Phone (859) 200-5719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 298472 | KY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1154117893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 DENNY SUBDIVISION RD",
"city": "MOUNT VERNON",
"state": "KY",
"postal_code": "404568448",
"telephone_number": "859-200-5719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 SECOND ST",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425012390",
"telephone_number": "859-200-5719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHT",
"first_name": "DAVID",
"middle_name": "WARREN",
"name_prefix": "Mr.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-18",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "298472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.