INNOVATIVE MINDS ABA LLC NPI 1578103537

NPI Information

  • NPI: 1578103537
  • Provider Name: INNOVATIVE MINDS ABA LLC
  • Classification: Behavior Analyst - 103K00000X
  • Entity Type: Organization
  • Address: 755 N PEACH AVE
    CLOVIS, CA
    ZIP 93611
  • Phone: (559) 790-8136

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NPI Details

INNOVATIVE MINDS ABA LLC is a behavior analyst in Clovis, CA. 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. INNOVATIVE MINDS ABA LLC NPI is 1578103537. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

755 N PEACH AVE
CLOVIS, CA
ZIP 93611-247
Phone: (559) 790-8136

The provider's authorized official is Gina Vue .
The authorized official title is Executive Director and has the following contact phone number (559) 790-8136.

The enumeration date for this NPI number is 1/8/2020 and was last updated on 1/8/2020.

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 Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystYes
2251C00000XDay Training, Developmentally Disabled ServicesNo
3251S00000XCommunity/Behavioral HealthNo
4261Q00000XClinic/CenterNo
5261QC1500XClinic/CenterCommunity HealthNo
6261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
7261QM1300XClinic/CenterMulti-SpecialtyNo

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
1663108MEDICAIDCALIFORNIA

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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