The Promise Group, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

THE PROMISE GROUP, LLC

Practice address

8 Park PL Apt 347P
Hattiesburg, MS 39402-1570

Phone

(704) 277-5227

NPI assigned

Apr 21, 2016

Last updated

Apr 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Bunch-Crump, BCBANPI 1669826004

Title

Director

Phone

(704) 277-5227

Specialties & licenses 2

Addresses

Other names 1

• The Pronise Former legal business name

Practitioners 1

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.

• Kimberly Bunch-Crump, PH.D., BCBA

  • Behavior Analyst
  • Hattiesburg, MS
  • NPI 1669826004
  NPD (past) Authorized official

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1376997791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PARK PL APT 347P",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021570",
            "telephone_number": "704-277-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PARK PL APT 347P",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021570",
            "telephone_number": "704-277-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PROMISE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "BUNCH-CRUMP",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-277-5227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pronise",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Behavior Analyst in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Behavior Analyst in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.