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Organization
MINDSPROUTABA LLC
Active
Organization
MINDSPROUTABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREONNA JACKSON BCBA (OWNER/CLINICAL DIRECTOR)
(213) 222-6474
Entity
Organization
Contact information
Practice address
2108 N ST STE 11289, SACRAMENTO, CA 95816-5712
(213) 222-6474
Mailing address
2108 N ST STE 11289, SACRAMENTO, CA 95816-5712
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
07/20/2025
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