Hidden Light ABA VA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

HIDDEN LIGHT ABA VA LLC

Practice address

8280 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4516

Phone

(252) 431-0352

NPI assigned

Jul 17, 2024

Last updated

Jul 17, 2024By 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

Boruch Stefansky

Title

Manager

Phone

(252) 431-0352

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1861230542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 WILLOW OAKS CORPORATE DR STE 600",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 WILLOW OAKS CORPORATE DR STE 600",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314516",
            "telephone_number": "252-431-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN LIGHT ABA VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "STEFANSKY",
        "authorized_official_first_name": "BORUCH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "252-431-0352"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Heyer, M.D.
• Amit Hickman, MSW
• Raven E Hicks, DNP, CRNA
• Renee Hicks, M.S., NCSP
• Mary Kathleen Hidalgo, CRNA
• Marjolijn Narsis Hiemstra, LPC, QSACM, NLP
• Julia Higginbotham, FNP
• Denise Higgins
• Riley Juliette Higgins, PSYS
• Higher Functioning Behavioral Health Services PLLC (Higher Functioning Behavioral Health Services)

• Behavior Analyst in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.