| Innovative Minds | |
|
2160 W 1465 N St George UT 84770-6788 | |
| (435) 218-1849 | |
| Not Available |
| Full Name | Innovative Minds |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2160 W 1465 N, St George, Utah |
| Authorized Official Name and Position | Bryan Ocegueda (OWNER) |
| Authorized Official Contact | 4352181849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Minds 2160 W 1465 N St George UT 84770-6788 Ph: (435) 218-1849 | Innovative Minds 2160 W 1465 N St George UT 84770-6788 Ph: (435) 218-1849 |
| NPI Number | 1093555419 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093555419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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