NPIMap

Organization Active NPI

Lighthouse Licensed Behavior Analysts PLLC

  • Behavior Analyst
  • Flushing, NY
National Provider Identifier
1720672249
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LIGHTHOUSE LICENSED BEHAVIOR ANALYSTS PLLC
Practice address
13636 72ND Ave
Flushing, NY 11367-2328
Phone
(347) 277-2575
NPI assigned
Feb 24, 2021
Last updated
Feb 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Authorized official

Name
Mrs. Chaya Hurwitz, BCBA LBA
Title
Director
Phone
(347) 277-2575

Specialties & licenses 1

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

Addresses

Primary practice location

13636 72ND Ave
Flushing, NY 11367-2328

Mailing address

13636 72ND Ave
Flushing, NY 11367-2328

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1720672249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13636 72ND AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13636 72ND AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672328",
            "telephone_number": "347-277-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE LICENSED BEHAVIOR ANALYSTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "HURWITZ",
        "authorized_official_first_name": "CHAYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "347-277-2575",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.