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GROWING MINDS LEARNING CENTER LLC NPI 1275813222


NPI Information

NPI: 1275813222
Provider Name: GROWING MINDS LEARNING CENTER, LLC

Doing Business As: SURPASS BEHAVIORAL HEALTH

Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
1048 ASHLEY ST STE 101
BOWLING GREEN, KY
ZIP 42103
Phone: (615) 696-6761
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GROWING MINDS LEARNING CENTER, LLC is a behavior analyst in Bowling Green, KY. The provider is 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. GROWING MINDS LEARNING CENTER, LLC NPI is 1275813222. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Surpass Behavioral Health.

The provider's business location address is:

1048 ASHLEY ST STE 101
BOWLING GREEN, KY
ZIP 42103-449
Phone: (615) 696-6761
Fax: (615) 880-5782

The provider's authorized official is Jessica Kirk .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (615) 880-5782.

The enumeration date for this NPI number is 8/23/2011 and was last updated on 9/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistNo
2225X00000XOccupational TherapistNo
3235Z00000XSpeech-Language PathologistNo
4251C00000XDay Training, Developmentally Disabled ServicesNo
5103K00000XBehavior AnalystYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100174590OTHERKENTUCKYSCL WAIVER
27100215710MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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