Philip Lynn Lichtenberger, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-16111

Practice address

1396 Roselawn Ave
Thousand Oaks, CA 91362-2031

Phone

(805) 443-5859

NPI assigned

Oct 4, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain Light, Inc.

  • Behavior Analyst
  • Thousand Oaks, CA
  • NPI 1023528916
  NPD (past) Authorized official

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1538679592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 ROSELAWN AVE",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622031",
            "telephone_number": "805-443-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 ROSELAWN AVE",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622031",
            "telephone_number": "805-443-5859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3807 Sierra Hwy Ste 209",
            "address_purpose": "LOCATION",
            "city": "Acton",
            "state": "CA",
            "postal_code": "935101256",
            "country_code": "US",
            "telephone_number": "805-443-5859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICHTENBERGER",
        "first_name": "PHILIP",
        "middle_name": "LYNN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-14-16111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Nicole Lewin
• Ilana Katerina Lewis, ND
• Henry He Li, MD
• Clarissa Mey Lan Liang, BCBA
• Lice Clinics of America
• Brynn Lieberman
• Dana E Lieberman
• Liem Le-Chau M D Inc a Medical Corporation
• Lifeforce Family Wellness Center, Inc.
• Lifespan: a Center for Family Psychological Services Inc.

• Behavior Analyst in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.