Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Phillip Dean Patocka II, RADT

Individual provider Behavior Technician · NPI 1962247924

Mr. Phillip Dean Patocka II, RADT is a Behavior Technician in Garden Grove, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

12781 Josephine St
Garden Grove, CA 92841-4622
Phone: (657) 251-0503
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)
Behavior Technician Taxonomy 106S00000X · Licence R1560300524 (CA)

Record details

NPI number1962247924
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT
Sole proprietorYes
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 1, 2024
Certification dateJune 30, 2024

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