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General NPI Number Information
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NPI Number | 1689986861
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Entity Type | Organization
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Legal Business Name | EXPRESSIVE PATHWAYS, LLC
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Dates
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Enumeration Date | 07/05/2010
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 7540 ALLENTOWN BLVD UNIT 5
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City | HARRISBURG
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State | PA
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Zip | 17112-4237
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Country | US
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Telephone | 717-919-8022
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Fax |
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Provider Business Mailing Address
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Address Line | 7540 ALLENTOWN BLVD UNIT 5
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City | HARRISBURG
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State | PA
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Zip | 17112-4237
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO, OWNER
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Name | ASHLEIGH MAE BREWER SHAFFER
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Credential | MMT, LBS, BCBA
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Telephone | 223-797-1485
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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 | 1-10-6973
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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