Patrick Robert Booth, MS is a
Behavior Analyst based in Las Vegas, Nevada. Patrick Robert Booth is licensed to practice in Nevada (license number 1-19-35356) and his current practice location is
4055 Spencer St Ste 118, Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 799-9710.
NPI number for Patrick Robert Booth is 1639434582 and his current mailing address is 7261 W Charleston Blvd, Suite 101, Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639434582.
Healthcare Provider's Profile
| Full Name | Patrick Robert Booth |
|---|
| Gender | Male |
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| Speciality | Behavior Analyst |
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| Location | 4055 Spencer St Ste 118, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639434582
- Provider Enumeration Date: 07/06/2012
- Last Update Date: 07/07/2022
Medical Identifiers
Medical identifiers for Patrick Robert Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639434582 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | RBT-16-16491 (Nevada) | Secondary |
| 225400000X | Rehabilitation Practitioner | (Nevada) | Secondary |
| 103K00000X | Behavior Analyst | 1-19-35356 (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patrick Robert Booth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Patrick Robert Booth, MS
7261 W Charleston Blvd, Suite 101,
Las Vegas, NV 89117-1636
Ph: (702) 396-0101 | Patrick Robert Booth, MS
4055 Spencer St Ste 118,
Las Vegas, NV 89119-5250
Ph: (702) 799-9710 |
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