NPIMap

Organization Active NPI

Lighting the Way ABA Therapy

  • Behavior Analyst
  • Saint Johns, FL
National Provider Identifier
1780354910
Registry record updated Sep 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LIGHTING THE WAY ABA THERAPY
Practice address
417 Twin Oaks LN
Saint Johns, FL 32259-3034
Phone
(551) 482-0141
NPI assigned
Sep 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2021

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

Authorized official

Name
Mrs. Ayna Camero Perez, BCBANPI 1700331170
Title
Behavior Analyst
Phone
(551) 482-0141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

417 Twin Oaks LN
Saint Johns, FL 32259-3034

Mailing address

417 Twin Oaks LN
Saint Johns, FL 32259-3034
Phone (551) 482-0141

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632009600000",
    "number": "1780354910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 TWIN OAKS LN",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593034",
            "telephone_number": "551-482-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 TWIN OAKS LN",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593034",
            "telephone_number": "551-482-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTING THE WAY ABA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-19",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A",
        "authorized_official_last_name": "CAMERO PEREZ",
        "authorized_official_first_name": "AYNA",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "551-482-0141",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.