| Shaping Pathways | |
|
21801 Cactus Ave Ste A March Arb CA 92518-3020 | |
| (833) 526-2333 | |
| Not Available |
| Full Name | Shaping Pathways |
|---|---|
| Speciality | Behavior Technician |
| Location | 21801 Cactus Ave Ste A, March Arb, California |
| Authorized Official Name and Position | Kittiara Smoke Scott (DIRECT SERVICE PROVIDER) |
| Authorized Official Contact | 9513237610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaping Pathways 1425 Cherry Ave Spc 154 Beaumont CA 92223-1786 Ph: (951) 323-7610 | Shaping Pathways 21801 Cactus Ave Ste A March Arb CA 92518-3020 Ph: (833) 526-2333 |
| NPI Number | 1023944204 |
|---|---|
| Provider Enumeration Date | 06/23/2026 |
| Last Update Date | 06/23/2026 |
| Certification Date | 06/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023944204 | NPI | - | NPPES |
| 1679041495 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |