Healthcare Provider Details

I. General information

NPI: 1992615439
Provider Name (Legal Business Name): GROWING MINDS ABA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 DUDLEY PARK LOOP APT 317
CARY NC
27513-2985
US

IV. Provider business mailing address

915 DUDLEY PARK LOOP APT 317
CARY NC
27513-2985
US

V. Phone/Fax

Practice location:
  • Phone: 919-480-2196
  • 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: MARIAH ALVARADO
Title or Position: BCBA
Credential:
Phone: 919-480-2196