NPIMap

Organization Active NPI

Bright Minds Behavioral Health PLLC

  • Behavior Analyst
  • Abingdon, VA
National Provider Identifier
1952097222
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BRIGHT MINDS BEHAVIORAL HEALTH PLLC
Practice address
24160 Walden Rd
Abingdon, VA 24210-7714
Phone
(423) 341-7320
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Bethany Sandefur, BCBA, LBANPI 1194237420
Title
Owner/Bcba
Phone
(423) 341-7320

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

24160 Walden Rd
Abingdon, VA 24210-7714

Mailing address

24160 Walden Rd
Abingdon, VA 24210-7714
Phone (423) 341-7320

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.

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1952097222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24160 WALDEN RD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242107714",
            "telephone_number": "423-341-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24160 WALDEN RD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242107714",
            "telephone_number": "423-341-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT MINDS BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "SANDEFUR",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "423-341-7320",
        "authorized_official_credential": "BCBA, LBA"
    },
    "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 Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.