Shining Pathway ABA, LLC

Behavior Analyst · Summerset, SD

Organization Active NPI

NPI number 1386478857

Practice location

10215 Bellingham Dr
Summerset, SD 57718-9271
Phone
(269) 861-5506

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NPI record

NPI
1386478857
Entity type
Organization (Type 2)
Enumeration date
August 28, 2024
Last updated
August 28, 2024
Certified
August 28, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Authorized official

Name
Antwan Evans
Title
Owner
Phone
(269) 861-5506

About Shining Pathway ABA, LLC

Shining Pathway ABA, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 10215 Bellingham Dr, Summerset, SD 57718-9271. The NPI number 1386478857 was assigned on August 28, 2024 and the record was last updated on August 28, 2024.

The authorized official for this organization is Antwan Evans, Owner.

Frequently asked questions

What is the NPI number of Shining Pathway ABA, LLC?

The NPI number is 1386478857.

What is the phone number of Shining Pathway ABA, LLC?

The phone number listed for the practice location is (269) 861-5506.

Where is Shining Pathway ABA, LLC located?

10215 Bellingham Dr, Summerset, SD 57718-9271.

What is the taxonomy code for Shining Pathway ABA, LLC?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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