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Organization
PATTERNS BEHAVIORAL SERVICES MISSOURI, INC
Active
Organization
PATTERNS BEHAVIORAL SERVICES MISSOURI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IHAB SHAHAWI (CEO)
(760) 631-7550
Entity
Organization
Contact information
Practice address
435 NICHOLS RD STE 200, KANSAS CITY, MO 64112-2036
(657) 444-9002
Mailing address
3230 E IMPERIAL HWY, BREA, CA 92821-6721
(657) 444-9002
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346765013
PATTERNS BEHAVIORAL SERVICES NPI
—
01
—
581325995
CHASE BANK ACCOUNT NUMBER
—
Enumeration date
03/09/2018
Last updated
03/14/2018
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