Big Sky Behavioral Therapy, PLLC.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-10041 Issued in CO

Legal business name

BIG SKY BEHAVIORAL THERAPY, PLLC.

Practice address

3170 Two Moons Rd.
Big Sky, MT 59716-0771

Phone

(914) 391-9972

NPI assigned

Feb 21, 2017

Last updated

Feb 21, 2017By 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

Jeanne Lightbody, BCBANPI 1871998484

Title

President

Phone

(914) 391-9972

Specialties & licenses 1

Addresses

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.

• Jeanne Lightbody, BCBA

  • Behavior Analyst
  • Big Sky, MT
  • NPI 1871998484
  NPD (past) Authorized official

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1790224988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160771",
            "city": "BIG SKY",
            "state": "MT",
            "postal_code": "597160771",
            "telephone_number": "914-391-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 TWO MOONS RD.",
            "city": "BIG SKY",
            "state": "MT",
            "postal_code": "597160771",
            "telephone_number": "914-391-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SKY BEHAVIORAL THERAPY, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "LIGHTBODY",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-391-9972",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-14-10041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles O Allen, DO
• Maureene Helena Andrews, PA-C
• Shannon Brooke Angel, NCTMB, RYT-200
• Big Sky Eyes PC
• Big Sky Fire Department
• Big Sky Orthopaedics and Spine
• Big Sky Speech Therapy LLC
• John C Boersma, MPT

• Behavior Analyst in Big Sky, MT
• Providers in Big Sky, MT by specialty
• Behavior Analyst in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.