Mindescape LLC
Behavior Analyst · Bonita Springs, FL
Practice location
27911 Crown Lake BlvdBonita Springs, FL 34135-4210
- Phone
- (800) 961-3367
- Fax
- (800) 961-3367
NPI record
- NPI
- 1760216915
- Entity type
- Organization (Type 2)
- Enumeration date
- August 29, 2024
- Last updated
- May 29, 2026
- Certified
- May 29, 2026
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
— | — |
| Counselor | 101Y00000X |
— | — |
| Mental Health Counselor | 101YM0800X |
— | — |
| Psychologist | 103T00000X |
— | — |
| Occupational Therapist | 225X00000X |
— | — |
| Speech-Language Pathologist | 235Z00000X |
— | — |
Authorized official
- Name
- Mavelyn Millard
- Title
- Director
- Phone
- (800) 681-1403
Other practice locations (1)
- 7273 Vanderbilt Beach Rd Ste 31, Naples, FL 34119-1479 · (800) 681-1403
About Mindescape LLC
Mindescape LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 27911 Crown Lake Blvd, Bonita Springs, FL 34135-4210. The NPI number 1760216915 was assigned on August 29, 2024 and the record was last updated on May 29, 2026.
The authorized official for this organization is Mavelyn Millard, Director.
Frequently asked questions
What is the NPI number of Mindescape LLC?
The NPI number is 1760216915.
What is the phone number of Mindescape LLC?
The phone number listed for the practice location is (800) 961-3367.
Where is Mindescape LLC located?
27911 Crown Lake Blvd, Bonita Springs, FL 34135-4210.
What is the taxonomy code for Mindescape LLC?
The primary taxonomy code is 103K00000X – Behavior Analyst; 5 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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