| Organization Name: | CREATIVE MINDS BEHAVIOR SERVICES, LLC |
| NPI Number: | 1831574565 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RASOUL MOKHTARI (BEHAVIOR ANALYST) |
| Mailing Address: | 4636 Lebanon Pike # 167 Hermitage |
| State: | TN US |
| Postal Code: | 370761316 |
| Phone Number: | 6155137183 |
| Fax Number: | 6157773210 |
| NPI Enumeration Date: | 07/23/2015 |
| NPI Last Update Date: | 07/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103K00000X |
| License Number: | 1-07-3620 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Behavioral Analyst |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Behavior Analyst is a practitioner who specializes in analysis of behavior problems and development of appropriate intervention and treatment plans. A Behavior Analyst may work independently or with a team of professionals. Behavior Analysts often specialize in a particular area such as autism, developmental disabilities, mental health, geriatrics, or head trauma. |