Glenroy Patrick Patterson, BCBA is a
Behavior Analyst based in East Hartford, Connecticut. Glenroy Patrick Patterson is licensed to practice in * (Not Available) (license number 1-12-11741) and his current practice location is
72 Birchwood Rd, East Hartford, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 206-9884.
NPI number for Glenroy Patrick Patterson is 1063754653 and his current mailing address is 72 Birchwood Rd, East Hartford, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063754653.
Healthcare Provider's Profile
Full Name | Glenroy Patrick Patterson |
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Gender | Male |
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Speciality | Behavior Analyst |
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Location | 72 Birchwood Rd, East Hartford, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063754653
- Provider Enumeration Date: 03/21/2013
- Last Update Date: 02/22/2019
Medical Identifiers
Medical identifiers for Glenroy Patrick Patterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063754653 | NPI | - | NPPES |
110026265 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | 1-12-11741 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Glenroy Patrick Patterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Glenroy Patrick Patterson, BCBA 72 Birchwood Rd, East Hartford, CT 06118-1702 Ph: (860) 383-4423 | Glenroy Patrick Patterson, BCBA 72 Birchwood Rd, East Hartford, CT 06118-1702 Ph: (860) 206-9884 |
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