Organization
PATHWAY TO PROGRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANICE BOGUES (EXECUTIVE DIRECTOR)
(908) 209-2626
Entity
Organization
Contact information
Practice address
663 PENNSYLVANIA AVE, ELIZABETH, NJ 07201-1213
(908) 206-2929
Mailing address
3 NOLAN WAY APT 371, EAST BRUNSWICK, NJ 08816-4648
(908) 209-2626
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
12/05/2025
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