Provider Demographics
NPI:1265029201
Name:IMMINENT TRENDS, LLC
Entity Type:Organization
Organization Name:IMMINENT TRENDS, LLC
Other - Org Name:KANIKA JONES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KANIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:901-562-3888
Mailing Address - Street 1:PO BOX 1081
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38088-1081
Mailing Address - Country:US
Mailing Address - Phone:901-562-3888
Mailing Address - Fax:901-328-1813
Practice Address - Street 1:1286 GREENBROOK BND APT 3
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-8167
Practice Address - Country:US
Practice Address - Phone:901-562-3888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-23
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty