| Patchwork Kids Llc | |
|
2318 Holsum Cir Greenville TX 75401-5901 | |
| (903) 233-4395 | |
| (972) 584-6117 |
| Full Name | Patchwork Kids Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2318 Holsum Cir, Greenville, Texas |
| Authorized Official Name and Position | Melinda Bird (OWNER) |
| Authorized Official Contact | 9032881778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patchwork Kids Llc 2318 Holsum Cir Greenville TX 75401-5901 Ph: (903) 233-4395 | Patchwork Kids Llc 2318 Holsum Cir Greenville TX 75401-5901 Ph: (903) 233-4395 |
| NPI Number | 1801469085 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 07/23/2021 |
| Certification Date | 07/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801469085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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