Healthcare Provider Details

I. General information

NPI: 1013871409
Provider Name (Legal Business Name): SUPERB GROWTH ABA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 CALIFORNIA AVE
BAKERSFIELD CA
93309-7024
US

IV. Provider business mailing address

4900 CALIFORNIA AVE
BAKERSFIELD CA
93309-7024
US

V. Phone/Fax

Practice location:
  • Phone: 845-445-6777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: SANDRA COLVIN
Title or Position: ASSISTANT DIRECTOR
Credential:
Phone: 845-445-6777