Coachella Valley Lighthouse

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-10337 Issued in FL

Legal business name

COACHELLA VALLEY LIGHTHOUSE

Practice address

78900 Avenue 47
Suite 105
La Quinta, CA 92253-2070

Phone

(760) 625-0951

Fax

(760) 564-5049

NPI assigned

Jun 5, 2012

Last updated

May 18, 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

Stephanie Rosales, BCBANPI 1518255009

Title

Ceo/Executive Clinical Director

Phone

(760) 625-0951

Specialties & licenses 7

Addresses

Practitioners 6

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.

• Stephanie Rosales

  • Behavior Analyst
  • Riverside, CA
  • NPI 1518255009
  NPD Authorized official
• Sophia M Ballinas

  • Behavior Technician
  • La Quinta, CA
  • NPI 1174499586
  NPD
• Daniel Flores Hernandez II

  • Behavior Technician
  • La Quinta, CA
  • NPI 1881582294
  NPD
• Emilea Marie Lockhart

  • Behavior Technician
  • Rancho Cucamonga, CA
  • NPI 1518833912
  NPD
• Daniela M Preciado

  • Behavior Technician
  • La Quinta, CA
  • NPI 1720954225
  NPD
• Itari Anali Romero

  • Behavior Technician
  • Thermal, CA
  • NPI 1053209916
  NPD

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1427319573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922020355",
            "telephone_number": "760-625-0951",
            "fax_number": "760-564-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78900 AVENUE 47",
            "address_2": "SUITE 105",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532070",
            "telephone_number": "760-625-0951",
            "fax_number": "760-564-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHELLA VALLEY LIGHTHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO/EXECUTIVE CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "760-625-0951",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-12-10337",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "LEP3111",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "LEP3111",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "LEP3111",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "LEP3111",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janel Chang, SLP-CCC
• Andrea Renne Chavez
• Nancy Christenson
• Click Med (Amore Home Care)
• Coachella Valley Digestive Health Inc.
• Coachella Valley Lighthouse
• Coachella Valley Nephrology Inc
• Coleman & Hashimoto Chiropractic & Acupuncture, Inc
• Mark Connell
• Constant Care Inc

• Behavior Analyst in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.