GROWING MINDS LEARNING CENTER LLC NPI 1275813222

NPI Information

NPI: 1275813222
Provider Name: GROWING MINDS LEARNING CENTER, LLC
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Doing Business As: SURPASS BEHAVIORAL HEALTH
Address: 1048 ASHLEY ST STE 101
BOWLING GREEN, KY
ZIP 42103
Phone: (615) 696-6761

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NPI Details

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 Code	Taxonomy Clasification	Primary
1	225100000X	Physical Therapist	No
2	225X00000X	Occupational Therapist	No
3	235Z00000X	Speech-Language Pathologist	No
4	251C00000X	Day Training, Developmentally Disabled Services	No
5	103K00000X	Behavior Analyst	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100174590	OTHER	KENTUCKY	SCL WAIVER
2	7100215710	MEDICAID	KENTUCKY

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: 11/21/2025

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