Healthcare Provider Details

I. General information

NPI: 1265376461
Provider Name (Legal Business Name): OPEN PATHWAYS ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 N LAKE AVE STE 800
PASADENA CA
91101-1857
US

IV. Provider business mailing address

155 N LAKE AVE STE 800
PASADENA CA
91101-1857
US

V. Phone/Fax

Practice location:
  • Phone: 626-376-4453
  • Fax:
Mailing address:
  • Phone: 626-376-4453
  • 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: LUZ M ELLSWORTH
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential: M.S.
Phone: 626-376-4453