| A Path Forward Behavioral Health Llc | |
|
5310 E William Street Rd Decatur IL 62521-1874 | |
| (217) 433-2720 | |
| Not Available |
| Full Name | A Path Forward Behavioral Health Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5310 E William Street Rd, Decatur, Illinois |
| Authorized Official Name and Position | Jeremy Maupin (PARTNER) |
| Authorized Official Contact | 2174332720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Path Forward Behavioral Health Llc 5310 E William Street Rd Decatur IL 62521-1874 Ph: (217) 433-2720 | A Path Forward Behavioral Health Llc 5310 E William Street Rd Decatur IL 62521-1874 Ph: (217) 433-2720 |
| NPI Number | 1942928239 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 08/22/2022 |
| Certification Date | 08/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942928239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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