Simone Lila Light, M.S, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-43267 Issued in OH

Practice address

4721 S. Cliff Ave Suite 103
Suite 103
Independence, MO 64055

Phone

(816) 368-8120

Fax

(800) 687-5070

NPI assigned

Sep 25, 2018

Last updated

Sep 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Autism Support Now, LLC

  • Behavior Analyst
  • Independence, MO
  • NPI 1033636956
  NPD

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1760967707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 S. CLIFF AVE SUITE 103",
            "address_2": "SUITE 103",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64055",
            "telephone_number": "816-368-8120",
            "fax_number": "800-687-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 S. CLIFF AVE SUITE 103",
            "address_2": "SUITE 103",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64055",
            "telephone_number": "816-368-8120",
            "fax_number": "800-687-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "SIMONE",
        "middle_name": "LILA",
        "credential": "M.S, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "RBT-18-62827",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-20-43267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chao Li, MSN, FNP-C
• Xiaoxia Li
• Yu Jim Li, MD
• Jennifer Anne Lierz, MSW
• Life at Its Best, Inc.
• Jennifer D. Liles, LCSW
• Cassandra Linares
• Lincare Inc (Medical West Respiratory Services)
• Andrew Michael Lincoln, PHARMD
• Linda Hickey (Linda Hickey & Associates)

• Behavior Analyst in Independence, MO
• Providers in Independence, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.