Organization
COLORFUL MINDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDI M MURA M.A., BCBA (OWNER)
(504) 444-2092
Entity
Organization
Contact information
Practice address
102 KELLEY CV, PASS CHRISTIAN, MS 39571-2226
(504) 444-2092
Mailing address
PO BOX 237, PASS CHRISTIAN, MS 39571-0237
(504) 444-2092
(888) 462-6035
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
160026
MS
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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