Lighthouse Behavior Analysts, PLLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LIGHTHOUSE BEHAVIOR ANALYSTS, PLLC

Practice address

13636 72ND Ave
Flushing, NY 11367-2328

Phone

(646) 675-4945

NPI assigned

Jun 30, 2020

Last updated

Jul 6, 2020By 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

Chaya Gopin, BCBA

Title

Owner

Phone

(646) 675-4945

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Pesia Raitman

  • Behavior Analyst
  • Brooklyn, NY
  • NPI 1154731867
  NPD (past)

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1730706391",
    "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",
            "telephone_number": "646-675-4945"
        },
        {
            "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": "646-675-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE BEHAVIOR ANALYSTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "GOPIN",
        "authorized_official_first_name": "CHAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-675-4945",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "001604-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lighthouse Licensed Behavior Analysts PLLC
• Merlinda Liharevic
• Angela Shilin Lijin, M.D.
• Taikchan Lildar, MD
• Lili Ren, M.D.,P.C.

• Behavior Analyst in Flushing, NY
• Providers in Flushing, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.