| Pathway Aba Llc | |
|
5651 Coventry Ln Ste 226 Fort Wayne IN 46804-7145 | |
| (260) 418-6459 | |
| Not Available |
| Full Name | Pathway Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5651 Coventry Ln Ste 226, Fort Wayne, Indiana |
| Authorized Official Name and Position | Kyren Giebel (FOUNDER) |
| Authorized Official Contact | 2604186459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Aba Llc 5651 Coventry Ln Fort Wayne IN 46804-7145 Ph: (260) 418-6459 | Pathway Aba Llc 5651 Coventry Ln Ste 226 Fort Wayne IN 46804-7145 Ph: (260) 418-6459 |
| NPI Number | 1063077535 |
|---|---|
| Provider Enumeration Date | 05/09/2019 |
| Last Update Date | 05/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063077535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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