Path 2 Potential, LLC

NPI #1437509106 in Woodside, New York

Provider Information

NPI Number
1437509106
Entity Type
Organization
Organization Name
Path 2 Potential, LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jun 14, 2016
Last Updated
Jun 14, 2016

Practice Location

Address
5812 QUEENS BLVD
Address 2
5O
ZIP Code
11377-7765
Phone
(917) 270-6865

Authorized Official

Name
JASON LANTIER, BCBA
Title
CEO
Phone
(917) 270-6865

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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