=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730047432
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PROGRESSIVE PATHWAYS BEHAVIOR ANALYTIC CONSULTATION SERVICES PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2026
-----------------------------------------------------
Last Update Date | 01/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 257 MANOR RD
-----------------------------------------------------
City | PLANTSVILLE
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06479-1312
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-302-4420
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 257 MANOR RD
-----------------------------------------------------
City | PLANTSVILLE
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06479-1312
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-302-4420
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER AND CLINICAL DIRECTOR
-----------------------------------------------------
Name | KATHRYN LEIGH DADDONA
-----------------------------------------------------
Credential | BCBA
-----------------------------------------------------
Telephone | 860-302-4420
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------