Organization Active NPI

Innovative Minds ABA of Minnesota, P.C.

  • Behavior Analyst
  • Owatonna, MN
National Provider Identifier
1487547550
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
INNOVATIVE MINDS ABA OF MINNESOTA, P.C.
Practice address
202 N Cedar Ave Ste 1
Owatonna, MN 55060-2306
Phone
(559) 790-8136
Fax
(844) 946-0884
NPI assigned
May 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Gina Vue, BCBA
Title
Ceo & Bcba
Phone
(559) 790-8136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

202 N Cedar Ave Ste 1
Owatonna, MN 55060-2306

Mailing address

202 N Cedar Ave Ste 1
Owatonna, MN 55060-2306
Phone (559) 790-8136

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1487547550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N CEDAR AVE STE 1",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602306",
            "telephone_number": "559-790-8136",
            "fax_number": "844-946-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N CEDAR AVE STE 1",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602306",
            "telephone_number": "559-790-8136",
            "fax_number": "844-946-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MINDS ABA OF MINNESOTA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "VUE",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CEO & BCBA",
        "authorized_official_telephone_number": "559-790-8136",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.