A Path Forward Behavioral Health LLC
Organization Active NPI Behavior Analyst · Decatur, IL
NPI 1942928239 · NPPES record last updated Aug 22, 2022
Key facts
- NPI
- 1942928239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- A PATH FORWARD BEHAVIORAL HEALTH LLC
- Practice address
- 5310 E William Street Rd
Decatur, IL 62521-1874 - Phone
- (217) 433-2720
- NPI assigned
- Aug 22, 2022
- Organization subpart
- No
Authorized official
- Name
- Jeremy Maupin
- Title
- Partner
- Phone
- (217) 433-2720
Practitioners 1
-
Brittiany Stone, BCBA
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
5310 E William Street Rd
Decatur, IL 62521-1874
Mailing address
5310 E William Street Rd
Decatur, IL 62521-1874
Phone (217) 433-2720
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.