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ILLUMA BEHAVIORAL HEALTH LLC
NPI 1578424446
Behavior Analyst in Tillatoba, MS

Active since November 20, 2025
267 COUNTY ROAD 558, TILLATOBA, MS 38961(719) 286-0774 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Illuma Behavioral Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLUMA BEHAVIORAL HEALTH LLC (NPI 1578424446) is a healthcare organization registered as a behavior analyst in Tillatoba, Mississippi and active in the NPI registry since November 2025. The organization lists Nicole Parks, Cofounder, as its authorized official.

NPPES Registry Identity

NPI1578424446
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameILLUMA BEHAVIORAL HEALTH LLC
Location Address267 COUNTY ROAD 558Tillatoba, MS 38961-3101
Mailing Address3609 Austin Bluffs Pkwy Ste 31Colorado Springs, CO 80918-6658
Phone(719) 286-0774
Organization SubpartNo
Authorized OfficialNicole ParksCofounder · (704) 614-7228
Enumeration DateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1578424446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition

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.

267 COUNTY ROAD 558, Tillatoba, MS 38961
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illuma Behavioral Health LLC's NPI number?

The NPI number for Illuma Behavioral Health LLC is 1578424446. It was assigned to this organization in the NPPES registry on November 20, 2025.

Where is Illuma Behavioral Health LLC located?

Illuma Behavioral Health LLC is located at 267 County Road 558, Tillatoba, MS 38961. The listed phone number is (719) 286-0774.

What is Illuma Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Illuma Behavioral Health LLC was last updated on November 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.