Individual
JACQUELINE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 TYLER LN, COVINGTON, GA 30016-6643
(773) 865-7817
Mailing address
40 TYLER LN, COVINGTON, GA 30016-6643
(773) 865-7817
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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