Organization Active NPI

Mighty Strides Behavior Solutions LLC

  • Behavior Analyst
  • Lowell, MA
National Provider Identifier
1477150399
Registry record updated Oct 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MIGHTY STRIDES BEHAVIOR SOLUTIONS LLC
Doing business as
Mighty Strides Behavior Solutions LLC
Practice address
549 Pine St Suite 19
Lowell, MA 01851-2336
Phone
(347) 356-4585
NPI assigned
Oct 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2020

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

Authorized official

Name
Ms. Jessie Ramdhany, MA, BCBA, LABA
Title
Bcba, Laba
Phone
(347) 356-4585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

549 Pine St Suite 19
Lowell, MA 01851-2336

Mailing address

549 Pine St Apt 19
Lowell, MA 01851-2336
Phone (347) 356-4585

Other names 1

  • Mighty Strides Behavior Solutions LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601769600000",
    "number": "1477150399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 PINE ST APT 19",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018512336",
            "telephone_number": "347-356-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 PINE ST SUITE 19",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018512336",
            "telephone_number": "347-356-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGHTY STRIDES BEHAVIOR SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A",
        "authorized_official_last_name": "RAMDHANY",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "BCBA, LABA",
        "authorized_official_telephone_number": "347-356-4585",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, BCBA, LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mighty Strides Behavior Solutions LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; 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.