Organization Active NPI

Dream Light ABA LLC

  • Behavior Analyst
  • Jacksonville, FL
National Provider Identifier
1902638711
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
DREAM LIGHT ABA LLC
Practice address
948 Jorick CT E
Jacksonville, FL 32225-8312
Phone
(561) 631-4588
NPI assigned
Aug 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Yelitza CottsNPI 1154912145
Title
Owner
Phone
(561) 631-4588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

948 Jorick CT E
Jacksonville, FL 32225-8312

Mailing address

948 Jorick CT E
Jacksonville, FL 32225-8312
Phone (561) 631-4588

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": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1902638711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 JORICK CT E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258312",
            "telephone_number": "561-631-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 JORICK CT E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258312",
            "telephone_number": "561-631-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM LIGHT ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "COTTS",
        "authorized_official_first_name": "YELITZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-631-4588"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.