Organization Active NPI

Peace of Mind Behavior Solutions

  • Behavior Analyst
  • Roswell, GA
National Provider Identifier
1720819121
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PEACE OF MIND BEHAVIOR SOLUTIONS
Doing business as
Kind behavior solutions
Practice address
630 Bluff Oak CT
Roswell, GA 30076-5818
Phone
(770) 241-5072
NPI assigned
Aug 8, 2024
Organization subpart
Yes
Parent organization
PEACE OF MIND BEHAVIOR SOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Hayley Gordon, M.S.,BCBANPI 1083175616
Title
Ceo
Phone
(770) 241-5072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

630 Bluff Oak CT
Roswell, GA 30076-5818

Mailing address

630 Bluff Oak CT
Roswell, GA 30076-5818

Other names 1

  • Kind behavior solutions Doing business as

National Provider Directory

National Provider Directory
Part of
Peace of Mind Behavior Solutions

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": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1720819121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 BLUFF OAK CT",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BLUFF OAK CT",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765818",
            "telephone_number": "770-241-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND BEHAVIOR SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEACE OF MIND BEHAVIOR SOLUTIONS",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-241-5072",
        "authorized_official_credential": "M.S.,BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kind behavior solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

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