Growing Minds Behavioral Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GROWING MINDS BEHAVIORAL SERVICES LLC

Practice address

16328 Blanco St
San Leandro, CA 94578-3126

Phone

(510) 324-6332

NPI assigned

Sep 20, 2023

Organization subpart

No

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

Authorized official

Name

Leticia Rosas Vera, M.A., BCBANPI 1922509934

Title

Co-Owner

Phone

(510) 324-6332

Specialties & licenses 1

Addresses

Practitioners 2

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

• Leticia Rosas Vera

  • Behavior Analyst
  • Newark, CA
  • NPI 1922509934
  NPD Authorized official
• Lucia Aileen Mercado, BCBA

  • Behavior Analyst
  • Phoenix, AZ
  • NPI 1538680608
  NPD (past)

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1609654524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 WOODMAN AVE UNIT 30",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011659",
            "telephone_number": "213-304-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16328 BLANCO ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783126",
            "telephone_number": "510-324-6332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6525 Woodman Ave Unit 30",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914011659",
            "country_code": "US",
            "telephone_number": "213-304-0458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROWING MINDS BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "ROSAS VERA",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "510-324-6332",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Marie Grisso, SUDCC
• Jennifer Griswold
• Mark Gross, M.S.W.
• Lauryn Grossman
• Jill Theresa Groth, RD
• Rachel Mary Grubb, RN
• Laura Grunbaum, M.D.
• Don J. Grundmann, D.C.
• Kristiana Guan
• Zhihua Guanwoo

• Behavior Analyst in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.