Organization
IGNITED MINDS ABA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ALAN ROUTHIER (OWNER)
(828) 455-3446
Entity
Organization
Contact information
Practice address
900 COX RD STE C, GASTONIA, NC 28054-3433
(828) 455-3446
(704) 594-1874
Mailing address
PO BOX 355, DALLAS, NC 28034-0355
(828) 455-3446
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609230747
—
NC
05
—
1649947656
—
NC
05
—
1841765419
—
NC
Enumeration date
08/26/2021
Last updated
12/05/2025
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