Active NPI
Skylight Behavioral Therapy, Inc.
- Behavior Analyst
- Campbell, CA
National Provider Identifier
1487535043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- SKYLIGHT BEHAVIORAL THERAPY, INC.
- Practice address
- 1875 S Bascom Ave Ste 2400
Campbell, CA 95008-2356 - Phone
- (408) 891-8235
- NPI assigned
- Sep 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ethan Lin, M. ED
- Title
- Clinical Director
- Phone
- (408) 891-8235
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1875 S Bascom Ave Ste 2400
Campbell, CA 95008-2356
Mailing address
1875 S Bascom Ave Ste 2400
Campbell, CA 95008-2356
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757462400000",
"number": "1487535043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875 S BASCOM AVE STE 2400",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950082356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 S BASCOM AVE STE 2400",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950082356",
"telephone_number": "408-891-8235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYLIGHT BEHAVIORAL THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-10",
"last_updated": "2025-09-10",
"certification_date": "2025-08-28",
"status": "A",
"authorized_official_last_name": "LIN",
"authorized_official_first_name": "ETHAN",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "408-891-8235",
"authorized_official_credential": "M. ED"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.