Organization Active NPI

Mastermind Behavior Services Ut LLC

  • Behavior Analyst
  • Salt Lake City, UT
National Provider Identifier
1740127562
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MASTERMIND BEHAVIOR SERVICES UT LLC
Practice address
1240 B E Stringham Ave
Salt Lake City, UT 84106
Phone
(732) 813-7333
NPI assigned
Apr 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Mrs. Raizy Perlstein
Title
Owner
Phone
(732) 813-7333

Specialties & licenses 1

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

Addresses

Primary practice location

1240 B E Stringham Ave
Salt Lake City, UT 84106

Mailing address

410 Monmouth Ave Apt 100
Lakewood, NJ 08701-3747
Phone (732) 813-7333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1740127562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MONMOUTH AVE APT 100",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013747",
            "telephone_number": "732-813-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 B E STRINGHAM AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84106",
            "telephone_number": "732-813-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERMIND BEHAVIOR SERVICES UT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "PERLSTEIN",
        "authorized_official_first_name": "RAIZY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-813-7333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.