Organization
PATHWAY ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KYREN GIEBEL M.S., CCC-SLP (FOUNDER)
(260) 418-6459
Entity
Organization
Contact information
Practice address
5651 COVENTRY LN STE 226, FORT WAYNE, IN 46804-7145
(260) 418-6459
Mailing address
5651 COVENTRY LN, FORT WAYNE, IN 46804-7145
(260) 418-6459
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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