NPI Index

PATH BOLD

Behavior Analyst

Active Organization
NPI: 1770377343

Practice Address

18 PROSPECT STREET
South Orange, NJ 07079

Phone: (973) 289-0655

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X No -
Clinic/Center - Developmental Disabilities 261QD1600X No -
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X No -
Day Training, Developmentally Disabled Services 251C00000X No -
Community/Behavioral Health 251S00000X No -
Behavior Analyst 103K00000X Yes -

Frequently Asked Questions

NPI 1770377343 is the National Provider Identifier for PATH BOLD, a Behavior Analyst provider located in South Orange, NJ. This NPI was enumerated on April 8, 2025.

Quick Facts

NPI
1770377343
Type
Organization
Enumerated
Apr 8, 2025
Last Updated
Apr 8, 2025

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