SHAPING BLOOMING MINDS LLC NPI 1881475754

NPI Information

  • NPI: 1881475754
  • Provider Name: SHAPING BLOOMING MINDS LLC
  • Classification: Behavior Analyst - 103K00000X
  • Entity Type: Organization
  • Address: 8523 ROYAL VERONA CIR
    BOYNTON BEACH, FL
    ZIP 33472
  • Phone: (813) 327-1739

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NPI Details

SHAPING BLOOMING MINDS LLC is a behavior analyst in Boynton Beach, FL. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. SHAPING BLOOMING MINDS LLC NPI is 1881475754. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8523 ROYAL VERONA CIR
BOYNTON BEACH, FL
ZIP 33472-108
Phone: (813) 327-1739

The provider's authorized official is Jacilyn Indellicati .
The authorized official title is Owner and has the following contact phone number (813) 327-1739.

The enumeration date for this NPI number is 10/9/2023 and was last updated on 10/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225X00000XOccupational TherapistNo
2235Z00000XSpeech-Language PathologistNo
3103K00000XBehavior AnalystYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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