Provider Demographics
NPI:1720315468
Name:PARADIGM PATHWAY CONSULTING
Entity Type:Organization
Organization Name:PARADIGM PATHWAY CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, BCBA-D
Authorized Official - Phone:757-286-2786
Mailing Address - Street 1:3453 FOXFIELD DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-1252
Mailing Address - Country:US
Mailing Address - Phone:757-286-2786
Mailing Address - Fax:757-966-7872
Practice Address - Street 1:3453 FOXFIELD DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-1252
Practice Address - Country:US
Practice Address - Phone:757-286-2786
Practice Address - Fax:757-966-7872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-16
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1095108103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty