MEDICARE: ABBY ROSE 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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1457281842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBY ROSE PATTON

Provider Business Mailing Address
First Line	:	8 BERGENIA
Second Line	:
City	:	RANCHO SANTA MARGARITA
State	:	CA
Zip	:	92688-1319
Country	:	US
Telephone Number	:	949-767-7231
Fax Number	:

Provider Business Practice Location Address
First Line	:	1968 S COAST HWY # 2862
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-3681
Country	:	US
Telephone Number	:	909-703-1772
Fax Number	:

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

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “ ABBY ROSE PATTON ” Practice Location

Language	Start Address	Practice Location

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