NPIMap

Organization Active NPI

Nufoundation Youth Development Mentors and Life Coach Services

  • Behavior Analyst
  • Litchfield Park, AZ
National Provider Identifier
1073167755
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NUFOUNDATION YOUTH DEVELOPMENT MENTORS AND LIFE COACH SERVICES
Practice address
12740 W Indian School Rd
Dd108
Litchfield Park, AZ 85340-6528
Phone
(623) 252-2821
NPI assigned
Jul 30, 2019
Last updated
May 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Mr. Kelvin Donyell Fleming Sr.NPI 1013622844
Title
Owner/Ceo
Phone
(951) 467-8466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

12740 W Indian School Rd
Dd108
Litchfield Park, AZ 85340-6528

Mailing address

12740 W Indian School Rd
Litchfield Park, AZ 85340-6528
Phone (623) 252-2821

Other names 1

  • Nufoundation Youth Services LLC. Other name

National Provider Directory

National Provider Directory

Locations

769 S San Jacinto Ave
Ste H
San Jacinto, CA 92583

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 208

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 208

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1073167755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12740 W INDIAN SCHOOL RD",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853406528",
            "telephone_number": "623-252-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 W INDIAN SCHOOL RD",
            "address_2": "DD108",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853406528",
            "telephone_number": "623-252-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUFOUNDATION YOUTH DEVELOPMENT MENTORS AND LIFE COACH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "DONYELL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "951-467-8466",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nufoundation Youth Services LLC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.