Potential Growth LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-12822 Issued in TX

Legal business name

POTENTIAL GROWTH LLC

Practice address

1438 County Road 314
Floresville, TX 78114-3340

Phone

(210) 289-7686

Fax

(866) 654-7301

NPI assigned

Jan 10, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kimberley Jarutowicz, BCBANPI 1386087930

Title

Owner

Phone

(210) 289-7686

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberley Graham Jarutowicz, BCBA

  • Behavior Analyst
  • Lackland a F B, TX
  • NPI 1386087930
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1013339076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 COUNTY ROAD 314",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781143340",
            "telephone_number": "210-289-7686",
            "fax_number": "866-654-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 COUNTY ROAD 314",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781143340",
            "telephone_number": "210-289-7686",
            "fax_number": "866-654-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTENTIAL GROWTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "JARUTOWICZ",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-289-7686",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-13-12822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abhishek Pandey
• Jillian Patton, MD
• Rebecca A Plante, LOT
• Melissa Popp, D.O.
• Potential Growth
• Poth & Balser Family Dentistry PLLC
• Larry H. Poth, D.D.S.
• Prestige Rehabilitation Services
• Pro Care Floresville LLC
• Procare Emergency Physicians Floresville PLLC

• Behavior Analyst in Floresville, TX
• Providers in Floresville, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.