Marie Patterson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-30929 Issued in CA

Practice address

4000 Civic Center Dr Ste 100
San Rafael, CA 94903-4151

Phone

(628) 877-0040

Fax

(858) 952-0502

NPI assigned

Aug 19, 2020

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

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1366054462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 FORBES AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602312",
            "telephone_number": "415-307-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR STE 100",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034151",
            "telephone_number": "628-877-0040",
            "fax_number": "858-952-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-30929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harshad Patel
• Molina S. Patel, DO
• M Julie Patino
• Anna-Mary Patterson, NP
• Georgina Patterson, D.C
• Virginia Patterson
• Patti Boro, LMFT
• Paul W. Herrmann, M.D., Inc.
• Michael Payne
• Maria Theresa Liwag Paz-Lum, MD

• Behavior Analyst in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.