Successful Pathways Behavioral Consulting Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SUCCESSFUL PATHWAYS BEHAVIORAL CONSULTING INC.

Practice address

4449 Tolenas Rd
Fairfield, CA 94533-6614

Phone

(916) 549-8014

NPI assigned

Jan 6, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tanisha R JacksonNPI 1750865218

Title

Ceo/Owner

Phone

(916) 549-8014

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanisha R Jackson

  • Behavior Analyst
  • Oakland, CA
  • NPI 1750865218
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1588325955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11135 SAN PABLO AVE UNIT 1520",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945306093",
            "telephone_number": "916-549-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 TOLENAS RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336614",
            "telephone_number": "916-549-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFUL PATHWAYS BEHAVIORAL CONSULTING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-02-08",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "916-549-8014"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan W Su, PTA
• Judy Su, D.D.S.
• Flor Suarez Plata
• Chanel Laraine Suarez
• Dominique Shaney Suber, RDHAP
• Arpita Singh Sukhi
• Mark S Sullivan, M.D.
• Smita Dutta Suman
• Deborah J. Summers-Collins, R.N.
• Arianne Summers

• Behavior Analyst in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.