The Light ABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

THE LIGHT ABA

Practice address

292 Kelley PL
West Fork, AR 72774-3218

Phone

(479) 466-6173

NPI assigned

Jun 28, 2023

Organization subpart

No

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

Authorized official

Name

Melanie Krisanne Kyle, BCBANPI 1588171813

Title

Bcba/Co-Owner

Phone

(479) 466-6173

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie Krisanne Kyle, BCBA

  • Behavior Analyst
  • West Fork, AR
  • NPI 1588171813
  NPD Authorized official

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1255018685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 KELLEY PL",
            "city": "WEST FORK",
            "state": "AR",
            "postal_code": "727743218",
            "telephone_number": "479-466-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 KELLEY PL",
            "city": "WEST FORK",
            "state": "AR",
            "postal_code": "727743218",
            "telephone_number": "479-466-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHT ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "KYLE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "KRISANNE",
        "authorized_official_title_or_position": "BCBA/CO-OWNER",
        "authorized_official_telephone_number": "479-466-6173",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superintendent of Greenland School District 95 (greenland public school)
• Superintendent of Lincoln School Dist 48 (lincoln public school)
• Superintendent of Prairie Grove School District No 23 (prairie grove school)
• Superintendent of West Fork School (west fork school)
• Teresa Schultz DMD PLLC
• The Natural State of Wellness, Inc (Kid's Choice Therapy Company)
• Tim E Hunt DDS PA (Northwest Dental Care of West Fork)
• Katie Jo Van Zee, OT-A
• Kari Lynn Waterson
• Deirdre Anna Webb, OTR

• Behavior Analyst in West Fork, AR
• Providers in West Fork, AR by specialty
• Behavior Analyst in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.