Provider Demographics
NPI:1811339377
Name:FRANKLIN, PATRICIA ANN YOUNG (BCBA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN YOUNG
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:3126 W CARY ST
Mailing Address - Street 2:BOX 116, ATLANTIC AUTISM SERVICES, INC
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23221-9068
Mailing Address - Country:US
Mailing Address - Phone:252-677-5100
Mailing Address - Fax:252-677-5110
Practice Address - Street 1:1431B WEEKSVILLE RD
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-8431
Practice Address - Country:US
Practice Address - Phone:252-677-5100
Practice Address - Fax:252-677-5110
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-15-18088103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst