COLORFUL MINDS, LLC (NPI# 1407308638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407308638 |
| Entity Type | Organization |
| Organization Name | COLORFUL MINDS, LLC |
| Practice Address |
102 Kelley Cv Pass Christian MS 39571-2226 |
| Mailing Address |
Po Box 237 Pass Christian MS 39571-0237 |
| Practice Telephone | 5044442092 |
| Mailing Telephone | 5044442092 |
| Mailing Fax Number | 8884626035 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |
| Authorized Official Name | RANDI M MURA (OWNER) |
| Authorized Official Telephone | 5044442092 |
| Authorized Official Credential | M.A., BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 160026 | MS | Behavioral Health & Social Service Providers |
| Street Address |
102 KELLEY CV |
| City | PASS CHRISTIAN |
| State | MS |
| Zip Code | 39571-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629380142 | Hancock Medical Center | Nurse Practitioner | 517 C & D, W North Street, Pass Christian, MS 39571 | 2010-07-13 |
| 1184652737 | Sports Medicine Ltd | Physical Therapist | 17000 Kapalama Rd., Suite B., Pass Christian, MS 39571 | 2006-06-30 |
| 1306877501 | Mark Schmidt | Physical Therapist | 17000 Kapalama Rd., Suite, Pass Christian, MS 39571 | 2006-07-05 |
| 1013945666 | Chad M Newell | Physical Therapist | 17000 Kapalama Rd., Suite B, Pass Christian, MS 39571 | 2006-06-30 |
| 1952534976 | Jeanne Hannah Oliver | Speech-Language Pathologist | 614 Royal Oak Dr, Pass Christian, MS 39571-2228 | 2009-08-25 |
| 1700195047 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 517 W North St Ste C&d, Pass Christian, MS 39571-2605 | 2010-10-05 |
| 1326376286 | Ina Rene Duplessis | Community Health Worker | 1583 E Second St, Pass Christian, MS 39571-3125 | 2009-12-03 |
| 1821654807 | Kristi Mong | Psychologist | 24505 Mare Point Dr, Pass Christian, MS 39571-3302 | 2019-05-14 |
| 1629601927 | Mind Works Therapy Pllc | Psychologist | 24505 Mare Point Dr, Pass Christian, MS 39571-3302 | 2020-02-15 |
| 1427482447 | Miranda W Hebert | Dietitian, Registered | 24560 Mare Point Dr, Pass Christian, MS 39571-3352 | 2013-08-27 |
| Find all providers in zip 39571 | ||||
| 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 |
|---|---|---|---|---|
| 1679170906 | Brian Michael Cline | Behavioral Analyst | 302 Mitchell St, Petal, MS 39465-2414 | 2020-10-09 |
| 1881207785 | Fredricca Jazzman Brock | Behavioral Analyst | 8481 Regal Bend Dr, Olive Branch, MS 38654-4416 | 2020-08-28 |
| 1376188086 | Marshall Devolopmental Therapy Services Inc | Behavioral Analyst | 308 Estes Mill Rd, Walnut Grove, MS 39189-5043 | 2019-11-18 |
| 1609418896 | Blue Sky Behavior Therapy | Behavioral Analyst | 402b Legacy Park, Ridgeland, MS 39157-4315 | 2019-10-09 |
| 1922654912 | Mark Wildmon | Behavioral Analyst | 447 Road 1279, Tupelo, MS 38804-9653 | 2019-08-14 |
| 1134697790 | Donna Satterlee Ross | Behavioral Analyst | 5779 Getwell Rd # 3, Southaven, MS 38672-6347 | 2018-11-12 |
| 1073098877 | Lana Kathryn Warren | Behavioral Analyst | 2180 Oak Grove Rd, Hattiesburg, MS 39402 | 2018-09-27 |
| 1326523168 | Mark G Yeager | Behavioral Analyst | 2180 Oak Grove Rd., Hattiesburg, MS 39402 | 2018-09-27 |
| 1205336930 | Deterrence Deon Allen | Behavioral Analyst | 7105 Swinnea Rd Ste 2, Southaven, MS 38671-6012 | 2018-02-19 |
| 1154820405 | Karlie Michelle Robinson | Behavioral Analyst | 5412 Lakeland Dr Ste C, Flowood, MS 39232-7136 | 2018-02-01 |
| Find all providers with the same taxonomy | ||||
| City | PASS CHRISTIAN |
| Zip Code | 39571 |
Please comment or provide details below to improve the information on COLORFUL MINDS, LLC.
| 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.