Organization
EXPRESSIVE PATHWAYS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEIGH MAE BREWER SHAFFER MMT, LBS, BCBA (CEO, OWNER)
(223) 797-1485
Entity
Organization
Contact information
Practice address
7540 ALLENTOWN BLVD, UNIT 5, HARRISBURG, PA 17112-4237
(717) 919-8022
Mailing address
7540 ALLENTOWN BLVD, UNIT 5, HARRISBURG, PA 17112-4237
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-10-6973
PA
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103861580-0001
—
PA
Enumeration date
07/05/2010
Last updated
03/23/2022
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