LIGHTHOUSE BEHAVIORAL SERVICES, LLC (NPI# 1598186363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598186363 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE BEHAVIORAL SERVICES, LLC |
| Practice Address |
4530 Amesbury Pl Westfield IN 46062-1106 |
| Practice Telephone | 3174096151 |
| Practice Fax Number | 7658077983 |
| Mailing Telephone | 3174096151 |
| Mailing Fax Number | 7658077983 |
| Enumeration Date | 2013-12-22 |
| Last Update Date | 2013-12-22 |
| Authorized Official Name | MRS. LYDIA ANN FOX (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3174096151 |
| Authorized Official Credential | MA, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1118239 | IN | Behavioral Health & Social Service Providers |
| Street Address |
4530 AMESBURY PL |
| City | WESTFIELD |
| State | IN |
| Zip Code | 46062-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417230756 | Lydia Ann Fox | Behavioral Analyst | 4530 Amesbury Pl, Westfield, IN 46062-1106 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093335457 | Taylor Lynn Ellis | Social Worker | 1212 Westfield Road, Noblesville, IN 46062 | 2020-04-25 |
| 1902464357 | Valerie M Eibling | Dentist | 17567 River Avenue, Noblesville, IN 46062 | 2019-05-31 |
| 1346752011 | Noblesville Dental Associates LLC | Dentist | 17567 River Ave., Noblesville, IN 46062 | 2017-11-02 |
| 1346643863 | Stephen Dale | Physical Therapist | 5695 Pebble Village Lane, Noblesville, IN 46062 | 2014-09-29 |
| 1124427018 | Kristin Marie Moon | Nurse Practitioner | 865 Westfield Rd., Suite D, Noblesville, IN 46062 | 2014-08-18 |
| 1205171071 | Dollia Marie Mickler | Physical Therapy Assistant | 102 Clarendon Dr Apt 303, Noblesville, IN 46062 | 2012-12-06 |
| 1114117405 | Robin I Raub | Dentist | 19405 Little Chicago Rd, Noblesville, IN 46062 | 2007-08-01 |
| 1346367166 | Delayne Marie Lefevre | Dentist | 5520 Pebble Village Lane, Ste 200, Noblesville, IN 46062 | 2007-03-25 |
| 1932274438 | Fve Mw LLC | Assisted Living Facility | 7235 Riverwalk Way North, Noblesville, IN 46062 | 2006-11-21 |
| 1184853202 | Navneet Lather | Internal Medicine | 17525 River Rd, Noblesville, IN 46062 | 2009-07-10 |
| Find all providers in zip 46062 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054900 | Kerri Lynne Siedenburg | Behavioral Analyst | 610 W Broad St Fl 1, Westfield, NJ 07090-4109 | 2020-08-17 |
| 1508496639 | Kristen Siska | Behavioral Analyst | 29 Briarcliff Dr, Westfield, MA 01085-1821 | 2020-01-16 |
| 1528603362 | Bridget Celeste Gonzalez | Behavioral Analyst | 324 N Chestnut St, Westfield, NJ 07090-2413 | 2019-11-15 |
| 1104388057 | Mana Ebrahimi | Behavioral Analyst | 720 Hanford Pl, Westfield, NJ 07090-4332 | 2019-04-01 |
| 1073086575 | Victoria Pascuzzi | Behavioral Analyst | 8 Mary Ln, Westfield, MA 01085-2004 | 2019-01-07 |
| 1609344092 | Cheryl Szafran | Behavioral Analyst | 4 S Maple St, Westfield, MA 01085-4339 | 2018-11-05 |
| 1528546637 | Amy S Ash | Behavioral Analyst | 831 Grandview Ave, Westfield, NJ 07090-1626 | 2018-07-31 |
| 1932605904 | Heather Prouty | Behavioral Analyst | 167 Prospect Street Ext, Westfield, MA 01085-1567 | 2018-03-30 |
| 1548785900 | Alyssa Clark | Behavioral Analyst | 456 Russellville Rd, Westfield, MA 01085-1180 | 2017-08-07 |
| 1831644780 | Theresa J Brown | Behavioral Analyst | 429 First Street, Westfield, NJ 07090 | 2016-08-22 |
| Find all providers in WESTFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.