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Organization
INNOVATIVE MINDS ABA LLC
Active
Organization
INNOVATIVE MINDS ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA VUE BCBA (EXECUTIVE DIRECTOR)
(559) 790-8136
Entity
Organization
Contact information
Practice address
6255 N FRESNO ST STE 101, FRESNO, CA 93710-5271
(559) 790-8136
Mailing address
3251 SALEM AVE, CLOVIS, CA 93619-8278
(559) 790-8136
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
663108
—
CA
Enumeration date
01/08/2020
Last updated
09/14/2026
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