Light Way ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LIGHT WAY ABA LLC

Practice address

15228 E Holland Dr
Mount Vernon, IL 62864-8604

Phone

(931) 278-2682

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Katelyn Legere, BCBA

Title

Owner

Phone

(931) 278-2682

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1669226973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15228 E HOLLAND DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628648604",
            "telephone_number": "931-278-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15228 E HOLLAND DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628648604",
            "telephone_number": "931-278-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT WAY ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-13",
        "status": "A",
        "authorized_official_last_name": "LEGERE",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-278-2682",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mike Lehker
• Lisa J Levanti Thomas, LCPC
• Katelyn Marie Lewis, S.T.
• Nicole Marie Lewis, DNP, FNP-BC
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• Christina Elizabeth Lipe, LCSW
• Cathy Diane Lisenby, PA-C

• Behavior Analyst in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.