| Successful Pathways Behavioral Consulting Inc. | |
|
4449 Tolenas Rd Fairfield CA 94533-6614 | |
| (916) 549-8014 | |
| Not Available |
| Full Name | Successful Pathways Behavioral Consulting Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4449 Tolenas Rd, Fairfield, California |
| Authorized Official Name and Position | Tanisha R Jackson (CEO/OWNER) |
| Authorized Official Contact | 9165498014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Successful Pathways Behavioral Consulting Inc. 11135 San Pablo Ave Unit 1520 El Cerrito CA 94530-6093 Ph: (916) 549-8014 | Successful Pathways Behavioral Consulting Inc. 4449 Tolenas Rd Fairfield CA 94533-6614 Ph: (916) 549-8014 |
| NPI Number | 1588325955 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 02/08/2022 |
| Certification Date | 01/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588325955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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