Colorful Minds Behavior Specialist LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

COLORFUL MINDS BEHAVIOR SPECIALIST LLC

Practice address

4043 Ray Dr
Montgomery, AL 36109-2425

Phone

(334) 249-3469

NPI assigned

Feb 2, 2023

Organization subpart

No

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

Authorized official

Name

Jelissa Williams, M.S, BCBA, LBA

Title

Founder

Phone

(334) 249-3469

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jelissa Vason, MS, LBA

  • Behavior Analyst
  • Vestavia, AL
  • NPI 1093392730
  NPD

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1609572544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4043 RAY DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361092425",
            "telephone_number": "334-249-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4043 RAY DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361092425",
            "telephone_number": "334-249-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORFUL MINDS BEHAVIOR SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JELISSA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "334-249-3469",
        "authorized_official_credential": "M.S, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Leigh Collett, OTR/L
• Catherine Hudson Collier, PHD
• Lauren Elisabeth Collier
• Samuel Douglas Collier, PH.D.
• Harleigh Collum
• Gwendolyn Colvin
• Judy W Colvin, LPTA
• Kendra Joy Gillis Colvin, MD
• Robert M Combs Jr., MD
• Kiarra Comer, MS, ALC

• Behavior Analyst in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Behavior Analyst in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.