Mastermind Behavior Services Nm LLC
Behavior Analyst in Clovis, NM. Organization (NPI-2).
NPI number1134065634
StatusActive
Last updated in NPPESJun 17, 2026
Details
- NPI
- 1134065634
- Entity type
- Organization (NPI-2)
- Legal business name
- Mastermind Behavior Services Nm LLC
- Organization subpart
- No
- Enumeration date
- Apr 27, 2026
- Certification date
- Jun 17, 2026
- Last updated
- Jun 17, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
1833 W 21st St # 1001Clovis, NM 88101-4023
Phone 732-813-7333
Mailing address
410 Monmouth Ave Apt 100Lakewood, NJ 08701-3747
Phone 732-813-7333
Authorized official
Raizy Perlstein
Owner
7328137333
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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