Jeanne Lightbody, BCBA
Individual provider Active NPI Behavior Analyst · Big Sky, MT
NPI 1871998484 · NPPES record last updated Feb 10, 2017
Key facts
- NPI
- 1871998484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 3170 Two Moons Road
Big Sky, MT 59716-0771 - Phone
- (914) 391-9972
- NPI assigned
- Oct 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Sky Behavioral Therapy, PLLC. | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
3170 Two Moons Road
Big Sky, MT 59716-0771
Mailing address
PO Box 160771
3170 Two Moons Rd.
Big Sky, MT 59716-0771
Phone (914) 391-9972
Other providers in Big Sky, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.