Provider Demographics
NPI:1003604703
Name:ASCEND PATH ABA LLC
Entity type:Organization
Organization Name:ASCEND PATH ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:A CARRIER
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:315-212-4807
Mailing Address - Street 1:207 FREDERICK RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-1708
Mailing Address - Country:US
Mailing Address - Phone:336-338-8578
Mailing Address - Fax:
Practice Address - Street 1:207 FREDERICK RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-1708
Practice Address - Country:US
Practice Address - Phone:336-338-8578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty