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NPI Code Detail

MEDICARE: PATIENCE BEAR

MEDICARE: PATIENCE BEAR
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
1106S00000XBehavior TechnicianRBT-25-496635TN

General Provider Information

NPI Number : 1881536480
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATIENCE BEAR
Provider Business Mailing Address
First Line : 14434 CORONA ST
Second Line :
City : BRISTOL
State : VA
Zip : 24202-4230
Country : US
Telephone Number : 276-285-9841
Fax Number :
Provider Business Practice Location Address
First Line : 945 N CENTRAL AVE
Second Line :
City : WOODMERE
State : NY
Zip : 11598-1604
Country : US
Telephone Number : 516-703-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ PATIENCE BEAR ” Practice Location

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