Healthcare Provider Details

I. General information

NPI: 1649137126
Provider Name (Legal Business Name): LIGHT IN THE SPECTRUM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 CREST CT UNIT 208
MONSEY NY
10952-2285
US

IV. Provider business mailing address

12 CREST CT UNIT 208
MONSEY NY
10952-2285
US

V. Phone/Fax

Practice location:
  • Phone: 845-263-6716
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: PINCHUS FRIEDMAN
Title or Position: OWNER
Credential:
Phone: 845-263-6716