1306794870 NPI number — GUIDED GROWTH BEHAVIOR & DEVELOPMENT LLC

Table of content: ADRIANNE KIEHLE DEOROCKI OT (NPI 1417213927)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306794870 NPI number — GUIDED GROWTH BEHAVIOR & DEVELOPMENT LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GUIDED GROWTH BEHAVIOR & DEVELOPMENT LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306794870
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/19/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1140 WEST COLONY ROAD
Provider Second Line Business Mailing Address:
SUITE 120, #183
Provider Business Mailing Address City Name:
RIPON
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95366
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
209-502-4272
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1361 MERRELL COURT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RIPON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95366
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-502-4272
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/19/2026

Additional Information

Authorized Official

Authorized Official Last Name:
SAGLI
Authorized Official First Name:
STACY
Authorized Official Middle Name:
Authorized Official Title or Position:
BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official Telephone Number:
209-502-4272

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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