Healthcare Provider Details

I. General information

NPI: 1023870821
Provider Name (Legal Business Name): NATURAL PATHWAYS ABA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2024
Last Update Date: 01/26/2024
Certification Date: 01/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12823 SOLOLA WAY
TRINITY FL
34655-7246
US

IV. Provider business mailing address

12823 SOLOLA WAY
TRINITY FL
34655-7246
US

V. Phone/Fax

Practice location:
  • Phone: 727-505-9949
  • Fax:
Mailing address:
  • Phone: 727-505-9949
  • 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: MRS. DANIELLE CUGLIETTA COOK
Title or Position: BCBA/CO-OWNER
Credential: BCBA
Phone: 727-505-9949