Provider Demographics
NPI:1790557015
Name:NEW PATTERNS VA LLC
Entity Type:Organization
Organization Name:NEW PATTERNS VA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHOLOM
Authorized Official - Middle Name:
Authorized Official - Last Name:SWIMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-706-7793
Mailing Address - Street 1:25 ROBERT PITT DR STE 106
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-3366
Mailing Address - Country:US
Mailing Address - Phone:845-709-0972
Mailing Address - Fax:
Practice Address - Street 1:10431 PATTERSON AVE # C21
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23238-5101
Practice Address - Country:US
Practice Address - Phone:786-706-7793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty