The Brightside of Behavior

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

THE BRIGHTSIDE OF BEHAVIOR

Practice address

1616 Veterans Ave
Vandalia, IL 62471-3317

Phone

(618) 704-1677

Fax

(618) 551-4525

NPI assigned

Mar 7, 2022

Last updated

Mar 16, 2022By 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

Tanea L Ricketts, M.A., BCBA, LBA

Title

Owner

Phone

(618) 704-1677

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tanea L Kinkead, M.A., BCBA, LBA

  • Behavior Analyst
  • Vandalia, IL
  • NPI 1245708122
  NPD
• Elizabeth Lohman, MA, BCBA, LBA

  • Behavior Analyst
  • Vandalia, IL
  • NPI 1457914665
  NPD

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1922755388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 VETERANS AVE",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624713317",
            "telephone_number": "618-704-1677",
            "fax_number": "618-551-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 VETERANS AVE",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624713317",
            "telephone_number": "618-704-1677",
            "fax_number": "618-551-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIGHTSIDE OF BEHAVIOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "RICKETTS",
        "authorized_official_first_name": "TANEA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-704-1677",
        "authorized_official_credential": "M.A., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Vandalia",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1616 Veterans Ave",
            "city": "Vandalia",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624713317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fax",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1616 Veterans Ave",
            "city": "Vandalia",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624713317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Behavior Analyst in Vandalia, IL
• Providers in Vandalia, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.