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Organization
SHAPING PATHWAYS
Active
Organization
SHAPING PATHWAYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KITTIARA SMOKE SCOTT (DIRECT SERVICE PROVIDER)
(951) 323-7610
Entity
Organization
Contact information
Practice address
21801 CACTUS AVE STE A, MARCH ARB, CA 92518-3020
(833) 526-2333
Mailing address
1425 CHERRY AVE SPC 154, BEAUMONT, CA 92223-1786
(951) 323-7610
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679041495
—
CA
Enumeration date
06/23/2026
Last updated
06/23/2026
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