Healthcare Provider Details

I. General information

NPI: 1760272942
Provider Name (Legal Business Name): CREATING PATHWAYS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10451 W PALMERAS DR STE 200
SUN CITY AZ
85373-2071
US

IV. Provider business mailing address

10451 W PALMERAS DR STE 200
SUN CITY AZ
85373-2071
US

V. Phone/Fax

Practice location:
  • Phone: 913-563-8152
  • Fax:
Mailing address:
  • Phone: 913-563-8152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ANGILA CUTLER
Title or Position: OWNER
Credential:
Phone: 913-563-8152