MEDICARE: DREAMPATH BEHAVIORAL SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251S00000X	Community/Behavioral Health Agency
3	253Z00000X	In Home Supportive Care Agency
4	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1467105411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DREAMPATH BEHAVIORAL SERVICES LLC

Provider Business Mailing Address
First Line	:	6932 TYNE CT
Second Line	:
City	:	DUBLIN
State	:	CA
Zip	:	94568-2146
Country	:	US
Telephone Number	:	925-819-4078
Fax Number	:

Provider Business Practice Location Address
First Line	:	6932 TYNE CT
Second Line	:
City	:	DUBLIN
State	:	CA
Zip	:	94568-2146
Country	:	US
Telephone Number	:	925-819-4078
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. CHRISTOPHER ALLEN JORDAN
Credential	:	M.A.BCBA #1-16-24566
Telephone Number	:	925-819-4078

Provider Enumeration Date	:	01/31/2022
Last Update Date	:	06/05/2026

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