Active NPI
Light for Life Therapy Services, Inc.
- Behavior Analyst
- Miami, FL
National Provider Identifier
1194177378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- LIGHT FOR LIFE THERAPY SERVICES, INC.
- Practice address
- 275 Fontainebleau Blvd Ste 130
Miami, FL 33172-7011 - Phone
- (786) 439-5835
- NPI assigned
- Jul 12, 2016
- 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
- Janet L Gonzalez
- Title
- Owner
- Phone
- (786) 439-5835
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Registered Nurse | 163W00000X | |||
| Licensed Practical Nurse | 164W00000X |
Addresses
Primary practice location
275 Fontainebleau Blvd Ste 130
Miami, FL 33172-7011
Mailing address
275 Fontainebleau Blvd
Ste 130
Miami, FL 33172-4591
Other practice location 1
275 Fontainebleau Blvd
Ste 225H
Miami, FL 33172-4591
Phone (786) 439-5835
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1194177378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 FONTAINEBLEAU BLVD",
"address_2": "STE 130",
"city": "MIAMI",
"state": "FL",
"postal_code": "331724591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 FONTAINEBLEAU BLVD STE 130",
"city": "MIAMI",
"state": "FL",
"postal_code": "331727011",
"telephone_number": "786-439-5835"
}
],
"practiceLocations": [
{
"address_1": "275 Fontainebleau Blvd",
"address_2": "STE 225H",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331724591",
"country_code": "US",
"telephone_number": "786-439-5835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIGHT FOR LIFE THERAPY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-12",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-439-5835"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Lifetime Solutions Agency, LLC
- Sofia Anna Lifgren, M.D.
- Lift2Care Transport
- Pamela Irene Liggett, PA-C
- Light & Wellness Center Inc
- Light Houses Behavior and Habilitation Services
- Light of Hope Behavior Therapy Inc
- Light of Hope Behavior Therapy Inc
- Light of Hope Behavior Therapy Inc
- Light of Hope Behavior Therapy Inc (Light of Hope Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.