Organization Active NPI

Illuminating Behavior Solutions LLC

Doing business as Illuminating Behavior

  • Behavior Analyst
  • Columbus, GA
National Provider Identifier
1750138905
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ILLUMINATING BEHAVIOR SOLUTIONS LLC
Doing business as
Illuminating Behavior
Practice address
5547 Veterans Pkwy
Columbus, GA 31904-4484
Phone
(906) 322-9767
NPI assigned
May 6, 2024
Last updated
May 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Aly Marie St. Ours, BCBANPI 1285185710
Title
Owner/Ceo
Phone
(906) 322-9767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

5547 Veterans Pkwy
Columbus, GA 31904-4484

Mailing address

5547 Veterans Pkwy
Columbus, GA 31904-4484
Phone (906) 322-9767

Other names 1

  • Illuminating Behavior Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@IlluminatingBehavior.com Direct

National Provider Directory

National Provider Directory

Locations

5547 Veterans Pkwy
Columbus, GA 31904
Phone (706) 501-4808

Interoperability endpoints

  • Direct secure messaging: info@illuminatingbehavior.com

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1750138905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5547 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044484",
            "telephone_number": "906-322-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5547 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044484",
            "telephone_number": "906-322-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATING BEHAVIOR SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "ST. OURS",
        "authorized_official_first_name": "ALY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "906-322-9767",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@IlluminatingBehavior.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7552 Northfield Dr",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319092733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Illuminating Behavior",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Illuminating Behavior",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.