Innovative Pathways, Llc | |
206 Princeton Rd Suite 25 Johnson City TN 37604 | |
(901) 497-5958 | |
Not Available |
Full Name | Innovative Pathways, Llc |
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Speciality | Behavior Analyst |
Location | 206 Princeton Rd, Johnson City, Tennessee |
Authorized Official Name and Position | Vicki Ross (ADMINISTRATIVE DIRECTOR) |
Authorized Official Contact | 9014975958 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Innovative Pathways, Llc 206 Princeton Rd Suite 25 Johnson City TN 37604 Ph: (901) 497-5958 | Innovative Pathways, Llc 206 Princeton Rd Suite 25 Johnson City TN 37604 Ph: (901) 497-5958 |
NPI Number | 1285455998 |
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Provider Enumeration Date | 10/24/2024 |
Last Update Date | 10/24/2024 |
Certification Date | 10/22/2024 |
Identifier | Type | State | Issuer |
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1285455998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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