Lisa Patterson

Individual provider Active NPI Behavior Technician · Knob Noster, MO

NPI 1346758448 · NPPES record last updated Jan 11, 2018

Key facts

NPI
1346758448
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1246 NE 130
Knob Noster, MO 65336-2331
Phone
(913) 908-0131
NPI assigned
Jan 11, 2018
Sex
Female
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1246 NE 130
Knob Noster, MO 65336-2331

Mailing address

1246 NE 130
Knob Noster, MO 65336-2331
Phone (913) 908-0131

Other providers in Knob Noster, MO

All providers in Knob Noster, MO · Behavior Technician in Missouri

Sources for this page

Verify at the official NPI Registry.