PROVIDENCE PEDIATRIC THERAPY, LLC
NPI 1669303772
Behavior Analyst in Brandon, MS

Q: What is Providence Pediatric Therapy, LLC's NPI number?

The NPI number for Providence Pediatric Therapy, LLC is 1669303772. It was assigned to this organization in the NPPES registry on May 27, 2026.

Q: What is Providence Pediatric Therapy, LLC's specialty?

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

Active since May 27, 2026

109 OFFICE PARK DR STE B&C, BRANDON, MS 39042(769) 257-1416 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Providence Pediatric Therapy, Llc NPPES

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

PROVIDENCE PEDIATRIC THERAPY, LLC (NPI 1669303772) is a healthcare organization registered as a behavior analyst in Brandon, Mississippi and active in the NPI registry since May 2026. The organization lists Sydney Marie Bearden, Owner, as its authorized official.

NPPES Registry Identity

NPI1669303772

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NamePROVIDENCE PEDIATRIC THERAPY, LLC

Location Address109 OFFICE PARK DR STE B&CBrandon, MS 39042-2403

Mailing Address109 Office Park Dr Ste B&cBrandon, MS 39042-2403 · (601) 213-3112 · Fax (601) 213-3112

Phone(769) 257-1416

Organization SubpartNo

Authorized OfficialSydney Marie BeardenOwner · (601) 213-3112

Enumeration DateMay 27, 2026

Last NPPES UpdateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1669303772 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.

109 OFFICE PARK DR STE B&C, Brandon, MS 39042

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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 Providence Pediatric Therapy, LLC's NPI number?

The NPI number for Providence Pediatric Therapy, LLC is 1669303772. It was assigned to this organization in the NPPES registry on May 27, 2026.

Where is Providence Pediatric Therapy, LLC located?

Providence Pediatric Therapy, LLC is located at 109 Office Park Dr Ste B&c, Brandon, MS 39042. The listed phone number is (769) 257-1416.

What is Providence Pediatric Therapy, 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 Providence Pediatric Therapy, LLC was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.