Provider Demographics
NPI:1831433853
Name:PATTERNS BEHAVIORAL SERVICES, LLC
Entity type:Organization
Organization Name:PATTERNS BEHAVIORAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REDMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:657-444-5571
Mailing Address - Street 1:3230 E IMPERIAL HWY
Mailing Address - Street 2:STE 203
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821
Mailing Address - Country:US
Mailing Address - Phone:657-444-9002
Mailing Address - Fax:714-677-1785
Practice Address - Street 1:1000 HENRIETTA CIR
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-4220
Practice Address - Country:US
Practice Address - Phone:714-366-0822
Practice Address - Fax:714-677-1785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-12-10300 (BCBA)251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health