Healthcare Provider Details

I. General information

NPI: 1306656970
Provider Name (Legal Business Name): EARLY CHILDHOOD PATHWAYS. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9930 CLARK DR
NORTHGLENN CO
80260-6029
US

IV. Provider business mailing address

9930 CLARK DR
NORTHGLENN CO
80260-6029
US

V. Phone/Fax

Practice location:
  • Phone: 303-564-0944
  • Fax:
Mailing address:
  • Phone: 303-564-0944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: AISLINN T PANDO
Title or Position: OWNER
Credential: MA, ECSE SPECIALIST
Phone: 303-564-0944