NPIMap

Organization Active NPI

Brightspots Behavior and Learning

  • Behavior Analyst
  • Lafayette, LA
National Provider Identifier
1992155675
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L045 Issued in LA
Legal business name
BRIGHTSPOTS BEHAVIOR AND LEARNING
Practice address
512 Thoroughbred Dr
Lafayette, LA 70507-6568
Phone
(337) 739-8005
NPI assigned
Jun 14, 2016
Last updated
Jun 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Mrs. Amy Theobald
Title
Owner
Phone
(337) 739-8005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X L045 LA Primary

Addresses

Primary practice location

512 Thoroughbred Dr
Lafayette, LA 70507-6568

Mailing address

512 Thoroughbred Dr
Lafayette, LA 70507-6568

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1992155675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 THOROUGHBRED DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705076568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 THOROUGHBRED DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705076568",
            "telephone_number": "337-739-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSPOTS BEHAVIOR AND LEARNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "THEOBALD",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-739-8005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.