LIGHTHOUSE NEUROFEEDBACK & BEHAVIOR ANALYSIS, INC.
NPI 1972010064
Behavior Analyst in Boulder, CO

NPI Status: Active since January 10, 2018

Contact Information

3080 VALMONT RD STE 220
BOULDER, CO
ZIP 80301
Phone: (720) 772-7334
Fax: (303) 833-4217

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  • Organization
  • Behavior Analyst

About LIGHTHOUSE NEUROFEEDBACK & BEHAVIOR ANALYSIS, INC.

This page provides the complete NPI Profile along with additional information for Lighthouse Neurofeedback & Behavior Analysis, Inc., a provider established in Boulder, Colorado operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1972010064 assigned on January 2018. The practitioner's primary taxonomy code is 103K00000X with license number 1-09-5794 (). The provider is registered as an organization and their NPI record was last updated 7 years ago. Lighthouse Neurofeedback & Behavior Analysis, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Remy Loeb-willer (Clinic Manager)

NPI
1972010064
Provider Name
LIGHTHOUSE NEUROFEEDBACK & BEHAVIOR ANALYSIS, INC.
Entity Type
Organization
Location Address
3080 VALMONT RD STE 220 BOULDER, CO 80301
Location Phone
(720) 772-7334
Location Fax
(303) 833-4217
Mailing Address
PO BOX 516 DACONO, CO 80514
Mailing Phone
(720) 449-6676
Mailing Fax
(303) 833-4217
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-10-2018
Last Update Date
01-10-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
License No.
1-09-5794
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

0011628 (CO)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

REMY LOEB-WILLER

Authorized Official Title
CLINIC MANAGER
Authorized Official Phone
(720) 449-6676

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9000153728MEDICAID (05)CO 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1972010064
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29142010012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 0 + 1 + 0 + 0 + 1 + 2 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1972010064 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932604931 BLAKE ROSS
Individual
Behavior Technician3080 VALMONT RD STE 220
BOULDER, CO 80301
(720) 772-7334

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972010064, enumerated in the NPI registry as an "organization" on January 10, 2018

The provider is located at 3080 Valmont Rd Ste 220 Boulder, Co 80301 and the phone number is (720) 772-7334

This medical organization specializes in Behavior Analyst with taxonomy code 103K00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 10, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.