Provider Demographics
NPI:1154113603
Name:GUIDED PATHWAYS FL
Entity type:Organization
Organization Name:GUIDED PATHWAYS FL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIORAL ANALYST
Authorized Official - Prefix:MR
Authorized Official - First Name:FADY
Authorized Official - Middle Name:
Authorized Official - Last Name:NESSIM
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:407-437-4383
Mailing Address - Street 1:386 BEECHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3109
Mailing Address - Country:US
Mailing Address - Phone:407-448-9878
Mailing Address - Fax:
Practice Address - Street 1:386 BEECHWOOD LN
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3109
Practice Address - Country:US
Practice Address - Phone:407-448-9878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities