Hidden Light ABA TX LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

HIDDEN LIGHT ABA TX LLC

Practice address

6575 West Loop S Ste 500
Bellaire, TX 77401-3509

Phone

(732) 228-3417

NPI assigned

Mar 20, 2024

Last updated

Jul 2, 2024By 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

Boruch Stefansky

Title

Owner

Phone

(732) 228-3417

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1659131316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 ASPEN CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 WEST LOOP S STE 500",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013509",
            "telephone_number": "732-228-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN LIGHT ABA TX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "STEFANSKY",
        "authorized_official_first_name": "BORUCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-228-3417"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.