Innovative Minds Aba Llc

LBN: Innovative Minds Aba Llc
Innovative Minds Aba Llc is an health care organization with primary practice located at 755 N Peach Ave , Clovis CA 93611-7247. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Multi-Specialty. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Innovative Minds Aba Llc can be contacted via phone (559) 790-8136, or through Vue, Gina via phone (559) 790-8136.

Contact Information

Primary practice address
755 N Peach Ave Clovis CA 93611-7247
Phone: (559) 790-8136
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vue, Gina BCBA
Phone: (559) 790-8136

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1578103537
LBN Legal business name Innovative Minds Aba Llc
DBA Doing business as
Authorized official Vue, Gina BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2020
Last updated Jan 8th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578103537 NPPES
California MEDICAID 663108

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