Organization
PATH 2 POTENTIAL SW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINA ACEVEDO BS (COO)
(718) 593-6522
Entity
Organization
Contact information
Practice address
7904 E CHAPPARAL RD, A110 PMB 493, SCOTTSDALE, AZ 85250-7904
(914) 497-0522
(347) 440-0655
Mailing address
7904 E CHAPPARAL RD, A110 PMB 493, SCOTTSDALE, AZ 85250-7904
(914) 497-0522
(347) 440-0655
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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