Creative Minds Behavior Services, LLC

Behavior Analyst · Hermitage, TN

Organization Active NPI

NPI number 1831574565

Practice location

4636 Lebanon Pike # 167
Hermitage, TN 37076-1316
Phone
(615) 513-7183
Fax
(615) 777-3210

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NPI record

NPI
1831574565
Entity type
Organization (Type 2)
Enumeration date
July 23, 2015
Last updated
July 23, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-07-3620 —

Authorized official

Name
Mr. Rasoul Mokhtari, MS, BCBA
Title
Behavior Analyst
Phone
(615) 513-7183

About Creative Minds Behavior Services, LLC

Creative Minds Behavior Services, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 4636 Lebanon Pike # 167, Hermitage, TN 37076-1316. The NPI number 1831574565 was assigned on July 23, 2015 and the record was last updated on July 23, 2015.

Creative Minds Behavior Services, LLC lists a license in the registry: #1-07-3620 for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mr. Rasoul Mokhtari, MS, BCBA, Behavior Analyst.

Frequently asked questions

What is the NPI number of Creative Minds Behavior Services, LLC?

The NPI number is 1831574565.

What is the phone number of Creative Minds Behavior Services, LLC?

The phone number listed for the practice location is (615) 513-7183.

Where is Creative Minds Behavior Services, LLC located?

4636 Lebanon Pike # 167, Hermitage, TN 37076-1316.

What is the taxonomy code for Creative Minds Behavior Services, LLC?

The primary taxonomy code is 103K00000X – Behavior Analyst.

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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