Light Angels Behavioral Therapy Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LIGHT ANGELS BEHAVIORAL THERAPY INC

Practice address

2933 W Cypress Creek Rd Ste 201
Fort Lauderdale, FL 33309-1760

Phone

(786) 709-7932

NPI assigned

Mar 8, 2023

Organization subpart

No

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

Authorized official

Name

Andy Vega SotoNPI 1669283776

Title

President

Phone

(786) 709-7932

Specialties & licenses 1

Addresses

Tax ID family

Light Angels Behavioral Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Light Angels Behavioral Therapy Inc

  • Behavior Analyst
  • West Palm Beach, FL
  • NPI 1306452578
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andy Vega Soto

  • Behavior Technician
  • Miami, FL
  • NPI 1669283776

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1992405997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 W CYPRESS CREEK RD STE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091760",
            "telephone_number": "786-709-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 W CYPRESS CREEK RD STE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091760",
            "telephone_number": "786-709-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT ANGELS BEHAVIORAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "VEGA SOTO",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-709-7932"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.