Healthcare Provider Details

I. General information

NPI: 1063356491
Provider Name (Legal Business Name): EVERYPATH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1382 BENZINGER RD
MANTECA CA
95337-8073
US

IV. Provider business mailing address

1382 BENZINGER RD
MANTECA CA
95337-8073
US

V. Phone/Fax

Practice location:
  • Phone: 209-740-3222
  • Fax:
Mailing address:
  • Phone: 209-740-3222
  • 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: KAYLEE MADEIROS PERDEW
Title or Position: CEO/ FOUNDER
Credential: BCBA
Phone: 209-740-3222