Provider Demographics
NPI:1013363977
Name:BEHAVIOR PATHWAYS, LLC
Entity Type:Organization
Organization Name:BEHAVIOR PATHWAYS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUPE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTANEDA
Authorized Official - Suffix:JR
Authorized Official - Credentials:BCBA
Authorized Official - Phone:210-870-0907
Mailing Address - Street 1:2623 RIO BRAZOS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2646
Mailing Address - Country:US
Mailing Address - Phone:210-870-0907
Mailing Address - Fax:210-267-9418
Practice Address - Street 1:2623 RIO BRAZOS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-2646
Practice Address - Country:US
Practice Address - Phone:210-870-0907
Practice Address - Fax:210-267-9418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-02-0994103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty