Provider Demographics
NPI:1396444329
Name:PRATT, ANDREA PAMELA (RBT)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:PAMELA
Last Name:PRATT
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:PAMELA
Other - Last Name:PRATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1175 STATE ROUTE 295
Mailing Address - Street 2:
Mailing Address - City:EAST CHATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12060-3623
Mailing Address - Country:US
Mailing Address - Phone:413-717-8279
Mailing Address - Fax:
Practice Address - Street 1:1175 STATE ROUTE 295
Practice Address - Street 2:
Practice Address - City:EAST CHATHAM
Practice Address - State:NY
Practice Address - Zip Code:12060-3623
Practice Address - Country:US
Practice Address - Phone:413-717-8279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician