Minds Matter ABA Resource Services

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MINDS MATTER ABA RESOURCE SERVICES

Practice address

6408 Rising Sun Ave FL 2
Philadelphia, PA 19111-5229

Phone

(215) 251-0981

NPI assigned

Jan 1, 2024

Last updated

Jan 8, 2024By 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

Sherry Hairston

Title

Director

Phone

(215) 251-0981

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1528837515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 RISING SUN AVE FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115229",
            "telephone_number": "215-251-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 RISING SUN AVE FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115229",
            "telephone_number": "215-251-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDS MATTER ABA RESOURCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-251-0981"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.