GROWING MINDS LEARNING CENTER, LLC (NPI# 1275813222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275813222 |
| Entity Type | Organization |
| Organization Name | GROWING MINDS LEARNING CENTER, LLC |
| Practice Address |
1711 Destiny Ln Ste 107 Bowling Green KY 42104-1067 |
| Mailing Address |
1321 Murfreesboro Pike Ste 702 Nashville TN 37217-2679 |
| Practice Telephone | 6155691314 |
| Practice Fax Number | 6155775654 |
| Mailing Telephone | 6155691314 |
| Mailing Fax Number | 6155775654 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | MATTHEW ORITZ (DIRECTOR, MANAGED CARE CONTRACTING) |
| Authorized Official Telephone | 6155691314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | SCL WAIVER | 7100174590 | 01 |
| KY | 7100215710 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Growing Minds Learning Center, LLC | 2008 Fossil Creek Parkway, Fort Collins, CO 80528 |
| Street Address |
1711 DESTINY LN STE 107 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-1067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477754307 | Lavonda Dorray Satterfield | Developmental Therapist | 1711 Destiny Ln Ste 107, Bowling Green, KY 42104-1067 | 2007-05-29 |
| 1871104562 | Katelyn C Lucas | Behavior Technician | 1711 Destiny Ln Ste 107, Bowling Green, KY 42104-1067 | 2020-08-14 |
| 1790317113 | Stephanie Lindsey | Behavior Technician | 1711 Destiny Ln Ste 107, Bowling Green, KY 42104-1067 | 2020-02-05 |
| 1285270538 | Mariah Randall | Behavior Technician | 1711 Destiny Ln Ste 107, Bowling Green, KY 42104-1067 | 2019-11-21 |
| 1013564509 | Madeline Williams | Behavior Technician | 1711 Destiny Ln Ste 107, Bowling Green, KY 42104-1067 | 2019-08-20 |
| 1245886563 | Logan Blackmon | Behavior Technician | 1711 Destiny Ln Ste 107, Bowling Green, KY 42104-1067 | 2019-08-13 |
| 1740834142 | Jessica Francies | Behavior Technician | 1711 Destiny Ln Ste 107, Bowling Green, KY 42104-1067 | 2019-07-25 |
| 1164985685 | Chloe Madison | Behavior Technician | 1711 Destiny Ln Ste 107, Bowling Green, KY 42104-1067 | 2019-04-11 |
| 1417472044 | Tori Johnson | Behavior Technician | 1711 Destiny Ln Ste 107, Bowling Green, KY 42104-1067 | 2017-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612852 | Ashlie Beth Glenn | Behavioral Analyst | 1504 Barley Way, Bowling Green, KY 42104-6347 | 2020-09-08 |
| 1407311053 | Alexa Fisher | Behavioral Analyst | 16439 Pike 292, Bowling Green, MO 63334-5111 | 2019-02-07 |
| 1164809422 | Nicolas Alan Houck | Behavioral Analyst | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2015-05-06 |
| 1578979019 | Ryan Burke | Behavioral Analyst | 2702 Industrial Dr Apt 814, Bowling Green, KY 42101-4156 | 2014-07-04 |
| 1982986725 | Bailey Anne Robinson | Behavioral Analyst | 181 West Professional Park Court, Suite 1, Bowling Green, KY 42104-3250 | 2011-09-19 |
| 1255612289 | Gregory Richmond Mancil | Behavioral Analyst | 730 Fairview Avenue Suite B-5, Bowling Green, KY 42101 | 2011-09-03 |
| 1023628492 | Leigh Ann Chapman | Behavioral Analyst | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2020-07-31 |
| 1679124440 | Holly Jo Harris | Behavioral Analyst | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2019-09-24 |
| 1306407515 | Hayley Ashcraft | Behavioral Analyst | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2019-06-27 |
| 1477071033 | Hopebridge, LLC | Behavioral Analyst | 2427 Russellville Rd, Bowling Green, KY 42101-3980 | 2017-09-05 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.