Healthcare Provider Details

I. General information

NPI: 1518821537
Provider Name (Legal Business Name): MINDSCAPE ABA AND EDUCATIONAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8708 GREEN APPLE CT
WAKE FOREST NC
27587-4835
US

IV. Provider business mailing address

8708 GREEN APPLE CT
WAKE FOREST NC
27587-4835
US

V. Phone/Fax

Practice location:
  • Phone: 919-449-5485
  • Fax:
Mailing address:
  • Phone: 919-449-5485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: KAREN DAWSON
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential: MSW, BCBA, LBA
Phone: 919-449-5485