Healthcare Provider Details

I. General information

NPI: 1801725510
Provider Name (Legal Business Name): GUIDED GROWTH BEHAVIORAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13742 SHABLOW AVE
SYLMAR CA
91342-2633
US

IV. Provider business mailing address

13742 SHABLOW AVE
SYLMAR CA
91342-2633
US

V. Phone/Fax

Practice location:
  • Phone: 818-681-4486
  • Fax:
Mailing address:
  • Phone: 818-681-4486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: NICOLETTE MONTANEZ NAVARRO
Title or Position: BEHAVIOR ANALYST
Credential: M.A., BCBA
Phone: 818-681-4486