Healthcare Provider Details

I. General information

NPI: 1568329688
Provider Name (Legal Business Name): GROWTH MINDSET ABA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1944 LORRI WAY
ESCONDIDO CA
92026-1025
US

IV. Provider business mailing address

1944 LORRI WAY
ESCONDIDO CA
92026-1025
US

V. Phone/Fax

Practice location:
  • Phone: 619-666-1205
  • 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: SUSAINE IBARRA HARDY
Title or Position: OWNER
Credential:
Phone: 760-274-7448