| Positive Pathways Behavior Services | |
|
583 Mckendimen Rd Medford NJ 08055-9774 | |
| (908) 217-3076 | |
| Not Available |
| Full Name | Positive Pathways Behavior Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 583 Mckendimen Rd, Medford, New Jersey |
| Authorized Official Name and Position | Michelle Lynn Siebert (BEHAVIOR ANALYST) |
| Authorized Official Contact | 9082173076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Pathways Behavior Services 583 Mckendimen Rd Medford NJ 08055-9774 Ph: (908) 217-3076 | Positive Pathways Behavior Services 583 Mckendimen Rd Medford NJ 08055-9774 Ph: (908) 217-3076 |
| NPI Number | 1164930475 |
|---|---|
| Provider Enumeration Date | 01/21/2018 |
| Last Update Date | 07/17/2023 |
| Certification Date | 09/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164930475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-15-20072 (New Jersey) | Primary |
| 103K00000X | Behavior Analyst | 1-15-19595 (New Jersey) | Secondary |
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