Provider Demographics
NPI:1023146115
Name:DEVELOPMENTAL PATHWAYS, INC.
Entity type:Organization
Organization Name:DEVELOPMENTAL PATHWAYS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN AUKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-402-2024
Mailing Address - Street 1:14280 E JEWELL AVE STE A
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-7939
Mailing Address - Country:US
Mailing Address - Phone:303-360-6600
Mailing Address - Fax:303-341-0382
Practice Address - Street 1:14280 E JEWELL AVE STE A
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-7939
Practice Address - Country:US
Practice Address - Phone:303-360-6600
Practice Address - Fax:303-341-0382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO152WV0400X, 171WV0202X, 261QR0400X, 376J00000X, 373H00000X
385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty
No171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Multi-Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, ChildGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO09139551Medicaid