MEDICARE: CREATING PATHWAYS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1760272942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREATING PATHWAYS LLC

Provider Business Mailing Address
First Line	:	10451 W PALMERAS DR STE 200
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85373-2071
Country	:	US
Telephone Number	:	913-563-8152
Fax Number	:

Provider Business Practice Location Address
First Line	:	10451 W PALMERAS DR STE 200
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85373-2071
Country	:	US
Telephone Number	:	913-563-8152
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGILA CUTLER
Credential	:
Telephone Number	:	913-563-8152

Provider Enumeration Date	:	05/09/2025
Last Update Date	:	06/09/2026

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Directions to “CREATING PATHWAYS LLC ” Practice Location

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