Organization Active NPI

Lighthouse Licensed Behavior Analysts of North Carolina LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1891502183
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIGHTHOUSE LICENSED BEHAVIOR ANALYSTS OF NORTH CAROLINA LLC
Practice address
205 Regency Dr
Charlotte, NC 28211-5472
Phone
(718) 218-5528
NPI assigned
Dec 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Mrs. Chaya Hurwitz, BCBA LBA
Title
Director
Phone
(718) 218-5528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

205 Regency Dr
Charlotte, NC 28211-5472

Mailing address

PO Box 250385
Brooklyn, NY 11225-0385

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": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1891502183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250385",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112250385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 REGENCY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115472",
            "telephone_number": "718-218-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE LICENSED BEHAVIOR ANALYSTS OF NORTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "HURWITZ",
        "authorized_official_first_name": "CHAYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-218-5528",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.