Organization
PATTERNS BEHAVIORAL SERVICES NORTH CAROLINA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IHAB SHAHAWI (CEO)
(657) 206-9594
Entity
Organization
Contact information
Practice address
3738 NATIONAL DR, STE 110, RALEIGH, NC 27612
(714) 833-8928
(714) 677-1785
Mailing address
3230 E IMPERIAL HWY STE 203, BREA, CA 92821-1706
(657) 444-9002
(714) 677-1785
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346765013
—
NC
Enumeration date
04/19/2018
Last updated
06/16/2018
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