Lifespan Behavioral Services PLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

LIFESPAN BEHAVIORAL SERVICES PLC

Practice address

2333 Schenley Dr
North Chesterfield, VA 23235-3317

Phone

(321) 427-2438

NPI assigned

Oct 12, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Byron Wine, PHD, BCBA, LBA

Title

Owner

Phone

(321) 427-2438

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Russell Osborne, BCBA

  • Behavior Analyst
  • Henrico, VA
  • NPI 1104082254
  NPD

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1326764283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 SCHENLEY DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353317",
            "telephone_number": "321-427-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 SCHENLEY DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353317",
            "telephone_number": "321-427-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN BEHAVIORAL SERVICES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "WINE",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-427-2438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Cheryl Lievano, PA-C
• Life Enrichment Center of Virginia
• Life Impact LLC
• Life Services Inc.
• Life Touch Services, LLC
• Light House Day Support Services LLC
• Lighthouse Behavioral Health Center, LLC
• Lighthouse Residential Home
• Meaghan Brooks Anderson Lincoln, MD
• Tasha Lindholm, LCSW

• Developmentally Disabled Services Day Training Agency in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.