Individual provider · NPI-1

Pattie Elaine Bentley, BCBA

Behavior Analyst · Port St Lucie, FL

NPI number1154853612
StatusActive
Last updated in NPPESAug 30, 2023

Details

NPI
1154853612
Entity type
Individual (NPI-1)
Name
Pattie Elaine Bentley
Credential
BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Apr 3, 2017
Certification date
Aug 29, 2023
Last updated
Aug 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

1645 Se Port St Lucie Blvd
Port St Lucie, FL 34952-5428

Phone 877-999-0258

Mailing address

560 Village Blvd Ste 100
West Palm Beach, FL 33409-1963

Phone 613-335-5681

Other practice locations

560 Village Blvd Ste 100
West Palm Beach, FL 33409-1963

Phone 561-335-5681

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