Provider Demographics
NPI:1043035181
Name:PIONEER PATHWAYS ABA LLC
Entity type:Organization
Organization Name:PIONEER PATHWAYS ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FUHR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-920-7500
Mailing Address - Street 1:100 W CRAWFORD ST APT 5
Mailing Address - Street 2:
Mailing Address - City:PALESTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75801-2810
Mailing Address - Country:US
Mailing Address - Phone:844-920-7500
Mailing Address - Fax:
Practice Address - Street 1:801 N SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:PALESTINE
Practice Address - State:TX
Practice Address - Zip Code:75801-2342
Practice Address - Country:US
Practice Address - Phone:844-920-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services