Illuminate Behavioral Consulting, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ILLUMINATE BEHAVIORAL CONSULTING, LLC

Practice address

6850 E Mayo Blvd Unit 2208
Phoenix, AZ 85054-5689

Phone

(206) 799-0012

NPI assigned

Sep 21, 2023

Organization subpart

No

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

Authorized official

Name

Amanda Hineline, M.ED., BCBA, LBANPI 1063872208

Title

Board Certified Behavior Analyst

Phone

(206) 799-0012

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.

• Amanda Marie Hineline

  • Behavior Analyst
  • Mesa, AZ
  • NPI 1063872208
  NPD Authorized official

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1336928134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 E MAYO BLVD UNIT 2208",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545689",
            "telephone_number": "206-799-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 E MAYO BLVD UNIT 2208",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545689",
            "telephone_number": "206-799-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE BEHAVIORAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "HINELINE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "206-799-0012",
        "authorized_official_credential": "M.ED., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage Ilas, FNP
• Debra Ilchak
• Ilhc of Phoenix, LLC (Arizona Grand Senior Living Community)
• Danijela Ilie, LMT
• Anthony E Iliff, PA-C
• Illuminated Counseling, PLLC
• Robert Helmut Illy
• Adaeze Ilo
• Chinonso Amara Ilo
• Yuliya K Ilyushenko, PHARMD

• Behavior Analyst in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.