Healthcare Provider Details

I. General information

NPI: 1023968641
Provider Name (Legal Business Name): COLORFUL MINDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

278 PUTNAM HILL RD
SUTTON MA
01590-1651
US

IV. Provider business mailing address

278 PUTNAM HILL RD
SUTTON MA
01590-1651
US

V. Phone/Fax

Practice location:
  • Phone: 775-530-1938
  • Fax:
Mailing address:
  • Phone: 775-530-1938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KEVIN KARANJA
Title or Position: ONWER
Credential:
Phone: 774-530-1938