Shining Pathway Aba, LLC
NPI #1386478857 in Summerset, South Dakota
Provider Information
- NPI Number
- 1386478857
- Entity Type
- Organization
- Organization Name
- Shining Pathway Aba, LLC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Aug 28, 2024
- Last Updated
- Aug 28, 2024
Practice Location
- Address
- 10215 BELLINGHAM DR
- City
- Summerset
- State
- South Dakota
- ZIP Code
- 57718-9271
- Phone
- (269) 861-5506
Authorized Official
- Name
- ANTWAN EVANS
- Title
- OWNER
- Phone
- (269) 861-5506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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