| Entity Name: | BEHAVIORAL PATHWAYS, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Jul 2023 (2 years ago) |
| Document Number: | P23000053576 |
| FEI/EIN Number | 93-2446268 |
| Address: | 5571 N UNIVERSITY DR, STE 101, CORAL SPRINGS, FL, 33067, US |
| Mail Address: | 5571 N UNIVERSITY DR, STE 101, CORAL SPRINGS, FL, 33067, US |
| ZIP code: | 33067 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770263329 | 2023-07-19 | 2024-05-09 | 5571 N UNIVERSITY DR STE 101, CORAL SPRINGS, FL, 330674653, US | 5571 N UNIVERSITY DR STE 101, CORAL SPRINGS, FL, 330674653, US | |||||||||||||||||||||||
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| Phone | +1 954-544-4991 |
| Fax | 9545444991 |
| Fax | 9545444992 |
Authorized person
| Name | JACQUELINE CAGNEY |
| Role | THERAPIST/OWNER |
| Phone | 9545444991 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 120097800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CAGENY JACQUELINE | Agent | 5571 N UNIVERSITY DR, CORAL SPRINGS, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| CAGNEY JACQUELINE | President | 5571 N UNIVERSITY DR STE101, CORAL SPRINGS, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| Garcia Otanys | Vice President | 7451 Ladson Terr, Lake Worth, FL, 33467 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-12-04 |
| ANNUAL REPORT | 2024-02-05 |
| Domestic Profit | 2023-07-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
