| Path Therapy Center Corp | |
|
75 Harness Ln # In Kissimmee FL 34743-7705 | |
| (786) 886-8695 | |
| Not Available |
| Full Name | Path Therapy Center Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 75 Harness Ln # In, Kissimmee, Florida |
| Authorized Official Name and Position | Walter L Ricardo (CEO) |
| Authorized Official Contact | 7868868695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path Therapy Center Corp 75 Harness Ln # In Kissimmee FL 34743-7705 Ph: (786) 886-8695 | Path Therapy Center Corp 75 Harness Ln # In Kissimmee FL 34743-7705 Ph: (786) 886-8695 |
| NPI Number | 1164179511 |
|---|---|
| Provider Enumeration Date | 03/06/2022 |
| Last Update Date | 03/06/2022 |
| Certification Date | 03/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164179511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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