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Organization

INNOVATIVE PATHWAYS, LLC

Active
Other names
Innovative Pathways
Organization subpart
No

Provider details

NPI number
Authorized official
VICKI L ROSS (ADMINISTRATIVE DIRECTOR/CO-OWNER)
(423) 656-0090
Entity
Organization

Contact information

Practice address
3 MORGAN CT, JOHNSON CITY, TN 37604
(423) 656-0090
(423) 656-0091
Mailing address
3 MORGAN CT, JOHNSON CITY, TN 37604
(423) 656-0090
(423) 656-0091

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
10/24/2024
Last updated
08/11/2025
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