Organization Active NPI

Brilliant Minds

  • Behavior Analyst
  • Winchester, TN
National Provider Identifier
1932935830
Registry record updated Sep 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BRILLIANT MINDS
Practice address
102 Mountain View Dr
Winchester, TN 37398-1224
Phone
(859) 353-1767
NPI assigned
Sep 9, 2024
Last updated
Sep 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2024

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

Authorized official

Name
Joel SandersonNPI 1568126506
Title
Owner
Phone
(859) 353-1767

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 Analyst 103K00000X Primary

Addresses

Primary practice location

102 Mountain View Dr
Winchester, TN 37398-1224

Mailing address

102 Mountain View Dr
Winchester, TN 37398-1224

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726272000000",
    "number": "1932935830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MOUNTAIN VIEW DR",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MOUNTAIN VIEW DR",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981224",
            "telephone_number": "859-353-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-353-1767"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.