Organization Active NPI

Gifted Futures Ms

  • Behavior Analyst
  • Jackson, MS
National Provider Identifier
1003571316
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GIFTED FUTURES MS
Practice address
6040 I-55 North Frontage Rd.
Jackson, MS 39211
Phone
(929) 466-1305
NPI assigned
Nov 2, 2021
Last updated
Jun 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sim B
Title
Billing Director
Phone
(347) 977-7095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

6040 I-55 North Frontage Rd.
Jackson, MS 39211

Mailing address

1255 E 31St St
Brooklyn, NY 11210-4740
Phone (347) 668-9113

National Provider Directory

National Provider Directory

Locations

6040 I 55 N
Jackson, MS 39211
Phone (601) 760-0976

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1003571316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 E 31ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104740",
            "telephone_number": "347-668-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 I-55 NORTH FRONTAGE RD.",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39211",
            "telephone_number": "929-466-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED FUTURES MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "B",
        "authorized_official_first_name": "SIM",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "347-977-7095"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.