Healthcare Provider Details

I. General information

NPI: 1306794870
Provider Name (Legal Business Name): GUIDED GROWTH BEHAVIOR & DEVELOPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1361 MERRELL COURT
RIPON CA
95366
US

IV. Provider business mailing address

1140 WEST COLONY ROAD SUITE 120, #183
RIPON CA
95366
US

V. Phone/Fax

Practice location:
  • Phone: 209-502-4272
  • Fax:
Mailing address:
  • Phone: 209-502-4272
  • 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: STACY SAGLI
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential: BCBA
Phone: 209-502-4272