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General NPI Number Information
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NPI Number | 1639651557
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Entity Type | Organization
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Legal Business Name | PATTERSON BEHAVIORAL SERVICES
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 4237 ATLANTA DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-1509
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Country | US
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Telephone | 508-373-6591
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Fax | 508-859-7082
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Provider Business Mailing Address
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Address Line | 4237 ATLANTA DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-1509
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Country | US
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Telephone | 508-373-6591
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Fax | 508-859-7082
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BETHANY ANNE PATTERSON
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Credential | BCBA
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Telephone | 508-373-6591
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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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