Individual
LAWANA PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1039 STONERIDGE DR STE 5, BOZEMAN, MT 59718-7056
(406) 860-5849
Mailing address
940 DOANE RD, BOZEMAN, MT 59718-8866
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
15-03315
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-03315
BEHAVIOR TECHNICIAN
MT
Enumeration date
01/16/2018
Last updated
03/03/2020
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