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NPI Code Detail

MEDICARE: PATTERSON BEHAVIOR SERVICES, LLC

MEDICARE: PATTERSON BEHAVIOR SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst0133001138VA

General Provider Information

NPI Number : 1225526262
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATTERSON BEHAVIOR SERVICES, LLC
Provider Business Mailing Address
First Line : 4342 4TH ST N
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-3068
Country : US
Telephone Number : 571-317-1446
Fax Number : 844-450-1756
Provider Business Practice Location Address
First Line : 4342 4TH ST N
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-3068
Country : US
Telephone Number : 571-317-1446
Fax Number : 844-450-1756
Authorized Official
Title or Position : MEMBER
Name : ALLYSON BRUMBACK PATTERSON
Credential : BCBA, LBA
Telephone Number : 571-317-1446
Provider Enumeration Date : 04/25/2018
Last Update Date : 12/10/2021

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Directions to “PATTERSON BEHAVIOR SERVICES, LLC ” Practice Location

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