Provider Demographics
NPI:1760124051
Name:PATTERSON, VALERIE ROXANA (BCABA)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:ROXANA
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2353 BADGER STREET
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-2302
Mailing Address - Country:US
Mailing Address - Phone:906-273-1121
Mailing Address - Fax:906-225-6706
Practice Address - Street 1:FUNCTIONAL BEHAVIOR SERVICES
Practice Address - Street 2:2353 BADGER STREET
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-2302
Practice Address - Country:US
Practice Address - Phone:906-273-1121
Practice Address - Fax:906-225-6706
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst