NPI Code Details Logo

NPI 1861306201

NPI 1861306201 : FUTURE PATH ABA : GLENDALE, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1861306201
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    FUTURE PATH ABA 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/01/2026
-----------------------------------------------------
    Last Update Date     |    10/01/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1260 MARIPOSA ST APT 4 
-----------------------------------------------------
    City                 |    GLENDALE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91205-3228
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    818-424-8416
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1260 MARIPOSA ST APT 4 
-----------------------------------------------------
    City                 |    GLENDALE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91205-3228
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    818-424-8416
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGER OF LLC / CEO
-----------------------------------------------------
    Name                 |     NIGOGHOS  NIGOGHOS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    818-424-8416
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.