NPIMap

Organization Active NPI

Potential Growth

  • Behavior Analyst
  • Floresville, TX
National Provider Identifier
1346661527
Registry record updated Dec 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-12822 Issued in TX
Legal business name
POTENTIAL GROWTH
Practice address
1438 County Road 314
Floresville, TX 78114-3340
Phone
(210) 289-7686
NPI assigned
Dec 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2013

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

Authorized official

Name
Kimberley Jarutowicz, BCBANPI 1386087930
Title
Owner
Phone
(210) 289-7686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-13-12822 TX Primary

Addresses

Primary practice location

1438 County Road 314
Floresville, TX 78114-3340

Mailing address

1438 County Road 314
Floresville, TX 78114-3340

Other identifiers 1

IdentifierTypeStateIssuer
1-13-12822OtherTXBACB

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1386979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386979200000",
    "number": "1346661527",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTENTIAL GROWTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-14",
        "last_updated": "2013-12-14",
        "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_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-13-12822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-13-12822",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Floresville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2013; 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.