Illuminating Behavior Solutions LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ILLUMINATING BEHAVIOR SOLUTIONS LLC

Practice address

5547 Veterans Pkwy
Columbus, GA 31904-4484

Phone

(906) 322-9767

NPI assigned

May 6, 2024

Organization subpart

No

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

Authorized official

Name

Aly Marie St. Ours, BCBA

Title

Owner/Ceo

Phone

(906) 322-9767

Specialties & licenses 1

Addresses

Other names 1

• Illuminating Behavior Doing business as

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: info@illuminatingbehavior.com

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"
        }
    ]
}

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• Behavior Analyst in Columbus, GA
• Providers in Columbus, GA by specialty
• Behavior Analyst in Georgia

• 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.