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Contact Information

PATHWAYS EARLY AUTISM INTERVENTION
255 ANGLERS RIDGE
BLUFF DALE, TX76433
 Phone: 817-408-8395
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Professional

101YP2500X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for PATHWAYS EARLY AUTISM INTERVENTION · (Female)

NPI # 1427322858
Status Active
Credentials
Entity Individual
Enumeration date 03/02/2012
Last updated 03/02/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 1095283
  • FL License # 1107216
  • TX License # 14784
  • TX License # 17279
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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