| Pacific Pathways Aba, Inc. | |
|
3715 Ne Highway 20 Corvallis OR 97330-9209 | |
| (813) 525-5468 | |
| (503) 296-5627 |
| Full Name | Pacific Pathways Aba, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3715 Ne Highway 20, Corvallis, Oregon |
| Authorized Official Name and Position | Stacey Denise Simonds (OWNER) |
| Authorized Official Contact | 8135255468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Pathways Aba, Inc. 3715 Ne Highway 20 Corvallis OR 97330-9209 Ph: (813) 525-5468 | Pacific Pathways Aba, Inc. 3715 Ne Highway 20 Corvallis OR 97330-9209 Ph: (813) 525-5468 |
| NPI Number | 1811878614 |
|---|---|
| Provider Enumeration Date | 09/09/2025 |
| Last Update Date | 09/09/2025 |
| Certification Date | 09/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811878614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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