Active Minds Behavior Health LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ACTIVE MINDS BEHAVIOR HEALTH LLC

Practice address

3414 Coppermine Ave
Edinburg, TX 78539-6268

Phone

(956) 249-8582

NPI assigned

Sep 1, 2022

Last updated

Sep 1, 2022By 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

Lisette ReyesNPI 1255985925

Title

Ceo

Phone

(956) 249-8582

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.

• Lisette Reyes

  • Behavior Analyst
  • Edinburg, TX
  • NPI 1255985925
  NPD Authorized official

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1912627571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 COPPERMINE AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396268",
            "telephone_number": "956-249-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 COPPERMINE AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396268",
            "telephone_number": "956-249-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE MINDS BEHAVIOR HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "LISETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-249-8582"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.