Individual
ABBY LYNN PATTENGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 SE HILLMOOR DR STE B101-103, PORT SAINT LUCIE, FL 34952-7553
(772) 463-0444
Mailing address
4641 EXPLORER DR, MELBOURNE, FL 32904-9181
(765) 299-1718
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
01/05/2026
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