Healthcare Provider Details

I. General information

NPI: 1043175136
Provider Name (Legal Business Name): FORWARD PATH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2893 KNOX AVE S APT 413
MINNEAPOLIS MN
55408-1863
US

IV. Provider business mailing address

2893 KNOX AVE S APT 413
MINNEAPOLIS MN
55408-1863
US

V. Phone/Fax

Practice location:
  • Phone: 952-769-6077
  • Fax:
Mailing address:
  • Phone: 952-769-6077
  • 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: MS. AMY MARIE HILSEN
Title or Position: MANAGING MEMBER
Credential: BCBA, LBA
Phone: 952-769-6077