- Practice location
- 18 Prospect Street, South Orange, NJ 07079
- Phone
- 973-289-0655
- Fax
- —
- Last updated
- April 1, 2026
Pathbold is a healthcare organization based in South Orange, NJ. Pathbold practices in South Orange, NJ. The NPI Number for Pathbold is 1770377343. The current practice location address for Pathbold is 18 Prospect Street, South Orange, NJ 07079 and can be reached out via phone at 973-289-0655.
Provider Profile Details
- NPI Number
- 1770377343
- Provider Name
- Pathbold
- Provider Entity Type
- Organization
- Address
- 18 Prospect Street, South Orange, NJ 07079
- Phone Number
- 973-289-0655
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Organization Subpart
- No
- Authorized Official
- Leslyn Garvin · Director · 732-631-4034
- Other Names
- Path Bold (Doing Business As)
- Provider Enumeration Date
- April 8, 2025
- Last Update Date
- April 1, 2026
- Certification Date
- April 1, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 18 Prospect Street
South Orange, NJ 07079 - City
- South Orange
- State
- New Jersey
- Zip
- 07079
- Phone Number
- 973-289-0655
Provider Business Mailing Address Details
- Address
- 18 Prospect St
South Orange, NJ 07079-2267 - City
- South Orange
- State
- NJ
- Zip
- 07079-2267
- Phone Number
- 732-631-4034
License Information
- Taxonomy (1)
- Day Training, Developmentally Disabled Services · 251C00000X
- Taxonomy (2)
- Community/Behavioral Health · 251S00000X
- Taxonomy (3)
- Clinic/Center, Developmental Disabilities · 261QD1600X
- Taxonomy (4)
- Clinic/Center · 261Q00000X
- Taxonomy (5)
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Taxonomy (6)
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Danica Davidman, MA, BCBABehavior Analyst · NPI 1518221688
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Frequently Asked Questions
What is the NPI number of Pathbold?
The NPI number of Pathbold is 1770377343. It was assigned on April 8, 2025 and is currently active in the NPPES registry.
What is the specialty of Pathbold?
Pathbold is registered under the primary taxonomy Behavior Analyst (code 103K00000X).
Where does Pathbold practice?
The practice location is 18 Prospect Street, South Orange, NJ 07079. The office can be reached at 973-289-0655 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770377343 directly on the NPPES registry website.