Light & Rod LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIGHT & ROD LLC

Practice address

999 Pepperwood Dr
Fayetteville, NC 28311-9387

Phone

(860) 578-0832

NPI assigned

May 15, 2024

Organization subpart

No

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

Authorized official

Name

Sabrina Chelsea Sisounong, M.A. BCBA, LBANPI 1356962161

Title

Owner, Bcba

Phone

(860) 578-0832

Specialties & licenses 3

Addresses

Practitioners 1

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

• Sabrina Chelsea Sisounong, BCBA

  • Behavior Analyst
  • Fayetteville, NC
  • NPI 1356962161
  NPD Authorized official

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1821847427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 PEPPERWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 PEPPERWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119387",
            "telephone_number": "860-578-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT & ROD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "SISOUNONG",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "CHELSEA",
        "authorized_official_title_or_position": "OWNER, BCBA",
        "authorized_official_telephone_number": "860-578-0832",
        "authorized_official_credential": "M.A. BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.