| Path 2 Learning, Pllc | |
|
5812 Queens Blvd Apt 5o Woodside NY 11377-7776 | |
| (917) 270-6865 | |
| (347) 440-0655 |
| Full Name | Path 2 Learning, Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5812 Queens Blvd Apt 5o, Woodside, New York |
| Authorized Official Name and Position | Jason W Lantier (CEO) |
| Authorized Official Contact | 9172706865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path 2 Learning, Pllc 5812 Queens Blvd Apt 5o Woodside NY 11377-7776 Ph: (917) 270-6865 | Path 2 Learning, Pllc 5812 Queens Blvd Apt 5o Woodside NY 11377-7776 Ph: (917) 270-6865 |
| NPI Number | 1992331284 |
|---|---|
| Provider Enumeration Date | 03/18/2020 |
| Last Update Date | 03/18/2020 |
| Certification Date | 03/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992331284 | NPI | - | NPPES |
| 134566029 | Other | NY | NYSDMV |
| 000710 | Other | NY | LICENSED BEHAVIOR ANALYST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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