PATH BOLD NPI 1770377343

NPI Information

  • NPI: 1770377343
  • Provider Name: PATH BOLD
  • Classification: Behavior Analyst - 103K00000X
  • Entity Type: Organization
  • Address: 18 PROSPECT STREET
    SOUTH ORANGE, NJ
    ZIP 07079
  • Phone: (973) 289-0655

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NPI Details

PATH BOLD is a behavior analyst in South Orange, NJ. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. PATH BOLD NPI is 1770377343. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18 PROSPECT STREET
SOUTH ORANGE, NJ
ZIP 07079
Phone: (973) 289-0655

The provider's authorized official is Lashawn Alladin .
The authorized official title is Director and has the following contact phone number (973) 289-0655.

The enumeration date for this NPI number is 4/8/2025 and was last updated on 4/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystYes
2251C00000XDay Training, Developmentally Disabled ServicesNo
3251S00000XCommunity/Behavioral HealthNo
4261Q00000XClinic/CenterNo
5261QD1600XClinic/CenterDevelopmental DisabilitiesNo
6320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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