Healthcare Provider Details

I. General information

NPI: 1902714256
Provider Name (Legal Business Name): PATHWAY CHILDREN'S THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 SALEM RD
CHERRY HILL NJ
08034-3658
US

IV. Provider business mailing address

1015 SALEM RD
CHERRY HILL NJ
08034-3658
US

V. Phone/Fax

Practice location:
  • Phone: 856-460-1504
  • Fax:
Mailing address:
  • Phone: 856-460-1504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MRS. RENEE GUELI
Title or Position: OWNER
Credential: BCBA, LBA
Phone: 856-912-6346