MEDICARE: GROWING MINDS BEHAVIORAL SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1689525230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROWING MINDS BEHAVIORAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	22802 RIO CHICO DR
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91354-2265
Country	:	US
Telephone Number	:	661-673-6810
Fax Number	:

Provider Business Practice Location Address
First Line	:	22802 RIO CHICO DR
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91354-2265
Country	:	US
Telephone Number	:	661-673-6810
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROLANDO PEREZ
Credential	:	BCBA
Telephone Number	:	661-673-6810

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	04/09/2026

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