OrganizationActive
Providence Pediatric Therapy, LLC
NPI 1669303772 · Behavior Analyst · Brandon, MS
Providence Pediatric Therapy, LLC is a Behavior Analyst organization in Brandon, MS (NPI 1669303772).
Provider details
- NPI number
- 1669303772
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Sydney Bearden, Owner(769) 257-1416
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
109 Office Park Dr Ste B&c
Brandon, MS 39042-2403
Phone: (769) 257-1416
Street-level locationGet directions
Mailing address
109 Office Park Dr Ste B&c
Brandon, MS 39042-2403
Registry dates
- Enumerated
- 2026-05-27
- Last updated
- 2026-05-27
- Certified
- 2026-05-27
Frequently asked questions
- What is Providence Pediatric Therapy, LLC's NPI number?
- Providence Pediatric Therapy, LLC's National Provider Identifier (NPI) is 1669303772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Pediatric Therapy, LLC?
- Providence Pediatric Therapy, LLC is classified in the NPPES registry as Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Providence Pediatric Therapy, LLC located?
- Providence Pediatric Therapy, LLC's practice location on file with NPPES is 109 Office Park Dr Ste B&c, Brandon, MS 39042-2403.
- What is Providence Pediatric Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Pediatric Therapy, LLC is (769) 257-1416.
- Who is the authorized official for Providence Pediatric Therapy, LLC?
- The authorized official listed on Providence Pediatric Therapy, LLC's NPPES record is Sydney Bearden, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Pediatric Therapy, LLC's NPI active?
- Yes — Providence Pediatric Therapy, LLC's NPI (1669303772) is active in the NPPES registry as of the last update on 2026-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.