NPIMap

Organization Active NPI

Lighthouse Behavioral Solutions

  • Behavior Analyst
  • Tustin, CA
National Provider Identifier
1972019941
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BCBA1145779
Legal business name
LIGHTHOUSE BEHAVIORAL SOLUTIONS
Practice address
18002 Irvine Blvd.
Suite 202C
Tustin, CA 92780
Phone
(657) 333-6085
NPI assigned
Dec 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Authorized official

Name
Mrs. Manuela O Powers, BCBA # 1145779NPI 1891114534
Title
Clinical Director
Phone
(949) 231-7979

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: 193400000X SINGLE SPECIALTY GROUP 103K00000X BCBA1145779 Primary

Addresses

Primary practice location

18002 Irvine Blvd.
Suite 202C
Tustin, CA 92780

Mailing address

18002 Irvine Blvd.
Suite 202C
Tustin, CA 92780
Phone (657) 333-6085

National Provider Directory

National Provider Directory

Locations

18002 Irvine Blvd
Ste 202C
Tustin, CA 92780
Phone (657) 333-6085

Practitioners & affiliated clinicians

Practitioners 6

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": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1972019941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18002 IRVINE BLVD.",
            "address_2": "SUITE 202C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "657-333-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18002 IRVINE BLVD.",
            "address_2": "SUITE 202C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "657-333-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE BEHAVIORAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "MANUELA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "949-231-7979",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA # 1145779"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "BCBA1145779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.