Patrick Pinkerton
Individual provider Active NPI Behavior Analyst · Bozeman, MT
NPI 1154966950 · NPPES record last updated Nov 15, 2019
Key facts
- NPI
- 1154966950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 810367074 (MT)
- Practice address
- 1315 E Main St
Bozeman, MT 59715-3850 - Phone
- (406) 587-2477
- NPI assigned
- Nov 15, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 810367074 | MT | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 810367074 | MT | Yes |
Addresses
Primary practice location
1315 E Main St
Bozeman, MT 59715-3850
Mailing address
1315 E Main St
Bozeman, MT 59715-3850
Phone (406) 587-2477
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.