MEDICARE: JOSHEIKA LAMIRACLE PATTON

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
1	103K00000X	Behavior Analyst	1-25-83191	GA

General Provider Information

NPI Number	:	1285313254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHEIKA LAMIRACLE PATTON

Provider Business Mailing Address
First Line	:	131 FAIRVIEW OAK TRL
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30157-8883
Country	:	US
Telephone Number	:	678-620-6386
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 FAIRVIEW OAK TRL
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30157-8883
Country	:	US
Telephone Number	:	678-620-6386
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2023
Last Update Date	:	08/20/2025

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Directions to “ JOSHEIKA LAMIRACLE PATTON ” Practice Location

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