Desiree Patty, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA60907045 Issued in WA

Practice address

17404 Meridian E Ste F125
Puyallup, WA 98375-6234

Phone

(253) 262-3409

NPI assigned

Feb 24, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavior Bridges

  • Behavior Analyst
  • Puyallup, WA
  • NPI 1508237702
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1144612342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 MARSHALL AVE SE APT 107",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980928283",
            "telephone_number": "253-592-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17404 MERIDIAN E STE F125",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756234",
            "telephone_number": "253-262-3409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3214 W McGraw St",
            "address_2": "Suite 212",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981993239",
            "country_code": "US",
            "telephone_number": "206-453-4882",
            "fax_number": "206-453-5094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7111 Marshall Ave SE Apt 107",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "98092",
            "country_code": "US",
            "telephone_number": "253-592-3426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTY",
        "first_name": "DESIREE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA60907045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrington Irene Patterson
• Margaret C Patterson, MSW
• Rachel Jean Nicole Patterson, PHARMD
• Walter Royal Patterson Jr., ARNP
• Gisele O Patton
• Leticia K Patty, MS
• Betty Jo Paul, RD
• Paula Stepp PLLC
• Julie Lynn Pavlicek
• Nicole Lynn Pawelek

• Behavior Analyst in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.