VIVID MINDS THERAPY LLC
NPI 1811659428
Behavior Analyst in Fullerton, CA

Active since October 11, 2021
1630 W GAGE AVE, FULLERTON, CA 92833(714) 598-7204(714) 586-5161 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vivid Minds Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVID MINDS THERAPY LLC (NPI 1811659428) is a healthcare organization registered as a behavior analyst in Fullerton, California and active in the NPI registry since October 2021. The organization lists Silvia Gutierrez, Executive Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1811659428
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameVIVID MINDS THERAPY LLC
Location Address1630 W GAGE AVEFullerton, CA 92833-4526
Mailing Address1630 W Gage AveFullerton, CA 92833-4526 · (714) 598-7204 · Fax (714) 586-5161
Fax(714) 586-5161
Organization SubpartNo
Authorized OfficialSilvia GutierrezExecutive Clinical Director · (714) 598-7204
Enumeration DateOctober 11, 2021
NPPES CertifiedOctober 11, 2021
NPI 1811659428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
1630 W GAGE AVE, Fullerton, CA 92833

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
1630 W GAGE AVE
FULLERTON, CA 92833
Behavior Technician
1630 W GAGE AVE
FULLERTON, CA 92833
Behavior Technician
1630 W GAGE AVE
FULLERTON, CA 92833
Behavior Technician
1630 W GAGE AVE
FULLERTON, CA 92833
Behavior Technician
1630 W GAGE AVE
FULLERTON, CA 92833
Behavior Technician
1630 W GAGE AVE
FULLERTON, CA 92833
Behavior Technician
1630 W GAGE AVE
FULLERTON, CA 92833
Behavior Technician
1630 W GAGE AVE
FULLERTON, CA 92833

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivid Minds Therapy LLC's NPI number?

The NPI number for Vivid Minds Therapy LLC is 1811659428. It was assigned to this organization in the NPPES registry on October 11, 2021.

Where is Vivid Minds Therapy LLC located?

Vivid Minds Therapy LLC is located at 1630 W Gage Ave, Fullerton, CA 92833. The listed phone number is (714) 598-7204.

What is Vivid Minds Therapy LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Vivid Minds Therapy LLC was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.