Illuma Behavioral Health LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ILLUMA BEHAVIORAL HEALTH LLC

Practice address

267 County Road 558
Tillatoba, MS 38961-3101

Phone

(719) 286-0774

NPI assigned

Nov 20, 2025

Last updated

Nov 20, 2025By 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

Nicole Parks, BCBA, IBA, LBANPI 1568800175

Title

Cofounder

Phone

(704) 614-7228

Specialties & licenses 1

Addresses

Locations

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.

• Nicole Christine Parks, BCBA

  • Behavior Analyst
  • Cumming, GA
  • NPI 1568800175
  NPD Authorized official

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1578424446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 AUSTIN BLUFFS PKWY STE 31",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 COUNTY ROAD 558",
            "city": "TILLATOBA",
            "state": "MS",
            "postal_code": "389613101",
            "telephone_number": "719-286-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "COFOUNDER",
        "authorized_official_telephone_number": "704-614-7228",
        "authorized_official_credential": "BCBA, IBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rural Care 2 You LLC
• Ramona Brooke Turner, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.