Healthcare Provider Details
I. General information
NPI: 1437067790
Provider Name (Legal Business Name): POSITIVE PATHWAYS ABA NM LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10401 MONTGOMERY PKWY NE STE 1F
ALBUQUERQUE NM
87111-3876
US
IV. Provider business mailing address
478 ALBANY AVE # 17
BROOKLYN NY
11203-1002
US
V. Phone/Fax
- Phone: 718-687-9294
- Fax:
- Phone: 718-687-9294
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DOVID
HALON
Title or Position: OWNER
Credential:
Phone: 718-687-9294