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General NPI Number Information
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NPI Number | 1043175136
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Entity Type | Organization
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Legal Business Name | FORWARD PATH LLC
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 2893 KNOX AVE S APT 413
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-1863
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Country | US
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Telephone | 952-769-6077
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Fax |
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Provider Business Mailing Address
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Address Line | 2893 KNOX AVE S APT 413
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-1863
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Country | US
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Telephone | 952-769-6077
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. AMY MARIE HILSEN
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Credential | BCBA, LBA
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Telephone | 952-769-6077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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