Provider Demographics
NPI:1942898200
Name:PATTERSON, FUTURE (RBT)
Entity type:Individual
Prefix:
First Name:FUTURE
Middle Name:
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 NEWMARKET PKWY SE STE 130
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-9309
Mailing Address - Country:US
Mailing Address - Phone:678-486-1911
Mailing Address - Fax:317-520-8200
Practice Address - Street 1:1455 OLD ALABAMA RD STE 195
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-2129
Practice Address - Country:US
Practice Address - Phone:678-940-1367
Practice Address - Fax:317-520-8200
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARBT-20-143563106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician