Organization Active NPI

Illuminating Behaviors Inc a Professional Corporation

  • Behavior Analyst
  • Alexandria, LA
National Provider Identifier
1326609777
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ILLUMINATING BEHAVIORS INC A PROFESSIONAL CORPORATION
Practice address
804 Highpoint Dr
Alexandria, LA 71303-2425
Phone
(318) 269-5198
NPI assigned
Jun 26, 2019
Last updated
Jun 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Sara McGee Mansilla, BCBA, LBA
Title
Ceo
Phone
(318) 269-5198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

804 Highpoint Dr
Alexandria, LA 71303-2425

Mailing address

804 Highpoint Dr
Alexandria, LA 71303-2425
Phone (318) 269-5198

Other identifiers 1

IdentifierTypeStateIssuer
2397648MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1326609777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 HIGHPOINT DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032425",
            "telephone_number": "318-269-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 HIGHPOINT DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032425",
            "telephone_number": "318-269-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATING BEHAVIORS INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "MANSILLA",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "MCGEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-269-5198",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2397648",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.