Organization Active NPI

Mastermind Behavior Services NM LLC

  • Behavior Analyst
  • Clovis, NM
National Provider Identifier
1134065634
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MASTERMIND BEHAVIOR SERVICES NM LLC
Practice address
1833 W 21St St # 1001
Clovis, NM 88101-4023
Phone
(732) 813-7333
NPI assigned
Apr 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Mrs. Raizy Perlstein
Title
Owner
Phone
(732) 813-7333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1833 W 21St St # 1001
Clovis, NM 88101-4023

Mailing address

410 Monmouth Ave Apt 100
Lakewood, NJ 08701-3747
Phone (732) 813-7333

National Provider Directory

National Provider Directory

Locations

1833 W 21st St
#1001
Clovis, NM 88101
Phone (732) 813-7333

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1134065634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MONMOUTH AVE APT 100",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013747",
            "telephone_number": "732-813-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 W 21ST ST # 1001",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014023",
            "telephone_number": "732-813-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERMIND BEHAVIOR SERVICES NM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "PERLSTEIN",
        "authorized_official_first_name": "RAIZY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-813-7333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.