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Organization
SHAPING BEHAVIORAL PATHWAYS, LLC
Active
Organization
SHAPING BEHAVIORAL PATHWAYS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARIE GUZMAN (CREDENTIALING MANAGER)
(626) 714-1228
Entity
Organization
Contact information
Practice address
164 1/2 N AVENUE 23, LOS ANGELES, CA 90031-1802
(213) 268-4235
Mailing address
164 1/2 N AVENUE 23, LOS ANGELES, CA 90031-1802
(213) 268-4235
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/06/2019
Last updated
04/06/2019
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