Healthcare Provider Details

I. General information

NPI: 1003746132
Provider Name (Legal Business Name): CREATIVE PATHWAYS ABA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7928 CLARKSON AVE
CUDAHY CA
90201-6914
US

IV. Provider business mailing address

7928 CLARKSON AVE
CUDAHY CA
90201-6914
US

V. Phone/Fax

Practice location:
  • Phone: 323-915-8233
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CINDY RUIZ
Title or Position: OWNER
Credential:
Phone: 323-915-8233