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NPI Code Detail

MEDICARE: LYNDSI SUMMER PATTON BCBA

MEDICARE: LYNDSI SUMMER PATTON BCBA
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 Analyst1-13-13354FL

General Provider Information

NPI Number : 1588005847
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDSI SUMMER PATTON BCBA
Provider Business Mailing Address
First Line : 13920 CITY CENTER DR STE 290
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-5444
Country : US
Telephone Number : 909-287-3557
Fax Number : 626-737-1095
Provider Business Practice Location Address
First Line : 13920 CITY CENTER DR STE 290
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-5444
Country : US
Telephone Number : 909-287-3557
Fax Number : 626-737-1095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2013
Last Update Date : 07/15/2013

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