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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

NPI Number 1427322858
LBN Legal business name PATHWAYS EARLY AUTISM INTERVENTION
Authorized official MICHELLE CAMPBELL - (OWNER / MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/02/2012
Last updated 03/02/2012 - About 14 years ago
Identifiers
FL License # 1095283
FL License # 1107216
TX License # 14784
TX License # 17279
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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