| Path Bold | |
|
18 Prospect Street South Orange NJ 07079 | |
| (973) 289-0655 | |
| Not Available |
| Full Name | Path Bold |
|---|---|
| Speciality | Behavior Analyst |
| Location | 18 Prospect Street, South Orange, New Jersey |
| Authorized Official Name and Position | Lashawn Alladin (DIRECTOR) |
| Authorized Official Contact | 9732890655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path Bold 18 Prospect St South Orange NJ 07079-2267 Ph: (973) 289-0655 | Path Bold 18 Prospect Street South Orange NJ 07079 Ph: (973) 289-0655 |
| NPI Number | 1770377343 |
|---|---|
| Provider Enumeration Date | 04/08/2025 |
| Last Update Date | 04/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770377343 | NPI | - | NPPES |
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