| Pathways To Behavioral Support Llc | |
|
6655 Highway 11 Carriere MS 39426-7986 | |
| (985) 951-3355 | |
| Not Available |
| Full Name | Pathways To Behavioral Support Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6655 Highway 11, Carriere, Mississippi |
| Authorized Official Name and Position | Victoria Cook (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9859513355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways To Behavioral Support Llc 107 Park View Ct Ponchatoula LA 70454-3652 Ph: () - | Pathways To Behavioral Support Llc 6655 Highway 11 Carriere MS 39426-7986 Ph: (985) 951-3355 |
| NPI Number | 1003411919 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 08/22/2023 |
| Certification Date | 08/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003411919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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