Healthcare Provider Details

I. General information

NPI: 1780594135
Provider Name (Legal Business Name): GENTLE PATH ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 LOU AVE
SALEM NH
03079-2327
US

IV. Provider business mailing address

26 LOU AVE
SALEM NH
03079-2327
US

V. Phone/Fax

Practice location:
  • Phone: 603-818-7138
  • Fax:
Mailing address:
  • Phone: 978-346-5516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LINDA MELO
Title or Position: EXECUTIVE CLINICAL DIRECTOR
Credential: MS, BCBA, LABA
Phone: 978-346-5516