| Thrivingpath Aba | |
|
633 Reanna Rd Lathrop CA 95330-8169 | |
| (209) 200-4988 | |
| Not Available |
| Full Name | Thrivingpath Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 633 Reanna Rd, Lathrop, California |
| Authorized Official Name and Position | Husnain Shafqat (CO-FOUNDER/MANAGING MEMBER) |
| Authorized Official Contact | 2092004988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrivingpath Aba 633 Reanna Rd Lathrop CA 95330-8169 Ph: (209) 200-4988 | Thrivingpath Aba 633 Reanna Rd Lathrop CA 95330-8169 Ph: (209) 200-4988 |
| NPI Number | 1093520454 |
|---|---|
| Provider Enumeration Date | 02/11/2025 |
| Last Update Date | 02/13/2025 |
| Certification Date | 02/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093520454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Doman & Wilson Psychological Service, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2476 Middlebury Dr, Lathrop, CA 95330 Phone: 505-514-7249 |