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Justin Patterson

Behavior Technician in Brandon, FL. Individual provider (NPI-1).

NPI number1962198150
StatusActive
Last updated in NPPESApr 12, 2023

Details

NPI
1962198150
Entity type
Individual (NPI-1)
Name
Justin Patterson
Sex
Male
Sole proprietor
No
Enumeration date
Apr 12, 2023
Certification date
Apr 12, 2023
Last updated
Apr 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

220 Grand Regency Blvd
Brandon, FL 33510-3935

Phone 813-709-7989 · Fax 317-520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Phone 855-324-0885 · Fax 317-520-8200

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