Wellformed AI

NPI 1942928239 · live from the CMS NPI Registry

A Path Forward Behavioral Health LLC

Behavior Analyst in Decatur, IL. National Provider Identifier 1942928239, active.

NPI record

NPI1942928239 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location5310 E William Street Rd, Decatur, IL 62521
Practice phone217-433-2720
EnumeratedAugust 22, 2022
Last updatedAugust 22, 2022
Authorized officialJeremy Maupin, Partner

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.