| Path 2 Potential Sw | |
|
7904 E Chapparal Rd A110 Pmb 493 Scottsdale AZ 85250-7904 | |
| (914) 497-0522 | |
| (347) 440-0655 |
| Full Name | Path 2 Potential Sw |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7904 E Chapparal Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Angelina Acevedo (COO) |
| Authorized Official Contact | 7185936522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path 2 Potential Sw 7904 E Chapparal Rd A110 Pmb 493 Scottsdale AZ 85250-7904 Ph: (914) 497-0522 | Path 2 Potential Sw 7904 E Chapparal Rd A110 Pmb 493 Scottsdale AZ 85250-7904 Ph: (914) 497-0522 |
| NPI Number | 1780384008 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/06/2023 |
| Certification Date | 03/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780384008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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