Healthcare Provider Details

I. General information

NPI: 1023948882
Provider Name (Legal Business Name): EMALEE TAYLOR PATTERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 BROOK ST UNIT 102
ROCKY HILL CT
06067-3463
US

IV. Provider business mailing address

539 TOWN ST
MOODUS CT
06469-1102
US

V. Phone/Fax

Practice location:
  • Phone: 888-754-0398
  • Fax:
Mailing address:
  • Phone: 860-519-4890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number099715429
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: