| Innovative Minds Aba Llc | |
|
755 N Peach Ave Clovis CA 93611-7247 | |
| (559) 790-8136 | |
| Not Available |
| Full Name | Innovative Minds Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 755 N Peach Ave, Clovis, California |
| Authorized Official Name and Position | Gina Vue (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5597908136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Minds Aba Llc 3251 Salem Ave Clovis CA 93619-8278 Ph: (559) 790-8136 | Innovative Minds Aba Llc 755 N Peach Ave Clovis CA 93611-7247 Ph: (559) 790-8136 |
| NPI Number | 1578103537 |
|---|---|
| Provider Enumeration Date | 01/08/2020 |
| Last Update Date | 01/08/2020 |
| Certification Date | 01/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578103537 | NPI | - | NPPES |
| 663108 | Medicaid | CA |
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