Kind Minds Early Intervention Services, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

KIND MINDS EARLY INTERVENTION SERVICES, LLC

Practice address

3257 Blue Jasmine LN
Dacula, GA 30019-3339

Phone

(404) 242-9210

NPI assigned

May 16, 2024

Last updated

Oct 3, 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

Miss Kayla Herren, MA, BCBANPI 1427691062

Title

Ceo/Bcba

Phone

(404) 242-9210

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, and the practitioner matching its NPPES authorized official.

• Kayla Herren

  • Behavior Analyst
  • Johns Creek, GA
  • NPI 1427691062
  NPD Authorized official

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1790534204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 BLUE JASMINE LN",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300193339",
            "telephone_number": "404-242-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 BLUE JASMINE LN",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300193339",
            "telephone_number": "404-242-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND MINDS EARLY INTERVENTION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "HERREN",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "CEO/BCBA",
        "authorized_official_telephone_number": "404-242-9210",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MA, BCBA"
    },
    "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 Dacula, GA
• Providers in Dacula, GA by specialty
• Early Intervention Provider Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.