Organization Active NPI

Blacklight Solutions LLC

  • Behavior Analyst
  • Denver, CO
National Provider Identifier
1649046491
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BLACKLIGHT SOLUTIONS LLC
Practice address
2590 Welton St Apt 812
Denver, CO 80205-3787
Phone
(928) 587-9198
Fax
(628) 288-7758
NPI assigned
Dec 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Lydia Chanel Renfro, MA, BCBA
Title
Ceo/Owner
Phone
(928) 587-9198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2590 Welton St Apt 812
Denver, CO 80205-3787

Mailing address

2590 Welton St Apt 812
Denver, CO 80205-3787
Phone (928) 587-9198

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1649046491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 WELTON ST APT 812",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053787",
            "telephone_number": "928-587-9198",
            "fax_number": "628-288-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 WELTON ST APT 812",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053787",
            "telephone_number": "928-587-9198",
            "fax_number": "628-288-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKLIGHT SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "RENFRO",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "CHANEL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "928-587-9198",
        "authorized_official_credential": "MA, BCBA"
    },
    "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 Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.