Light Angels Behavioral Therapy Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LIGHT ANGELS BEHAVIORAL THERAPY INC

Practice address

4457 Purdy LN Ste C
West Palm Beach, FL 33406-7405

Phone

(786) 709-7932

NPI assigned

Sep 22, 2020

Last updated

Apr 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andy Vega

Title

Vice President

Phone

(786) 709-7932

Specialties & licenses 1

Addresses

Tax ID family

Light Angels Behavioral Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Light Angels Behavioral Therapy Inc

  • Behavior Analyst
  • Fort Lauderdale, FL
  • NPI 1992405997
  NPD tax ID

Locations

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.

• Andy Vega Soto

  • Behavior Technician
  • Miami, FL
  • NPI 1669283776
  NPD

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1306452578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 PALM BEACH LAKES BLVD STE 400-E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093410",
            "telephone_number": "786-709-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4457 PURDY LN STE C",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067405",
            "telephone_number": "786-709-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT ANGELS BEHAVIORAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "786-709-7932"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifemax Medical Support Center LLC
• Lifespan Breast and Imaging Center LLC
• Lifespan Breast and Imaging Center, LLC
• Lifesprout, LLC (Kidsprout)
• Oren H Lifshitz, M.D.
• Light to Minds LLC
• Kelley Hinson Light, PT
• Lightbridge LLC (LBG Lab)
• Darlene Ochoa Ligon
• Mie Takizawa Lilavois, FNP-C

• Behavior Analyst in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.