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General NPI Number Information
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NPI Number | 1346765013
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Entity Type | Organization
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Legal Business Name | PATTERNS BEHAVIORAL SERVICES, INC.
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Dates
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Enumeration Date | 08/03/2017
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 3230 E IMPERIAL HWY STE 203
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City | BREA
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State | CA
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Zip | 92821
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Country | US
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Telephone | (657) 444-9002
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Fax | 714-677-1785
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Provider Business Mailing Address
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Address Line | 3230 E IMPERIAL HWY STE 203
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City | BREA
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State | CA
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Zip | 92821-1706
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Country | US
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Telephone | 657-444-9002
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Fax | 714-677-1785
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Authorized Official
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Title or Position | CFO
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Name | PAUL BURKE
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Credential |
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Telephone | 714-403-1332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health
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License Number |
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License Number State |
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