Individual
PATRICE GOBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
329 E 149TH ST, 4TH FLOOR, BRONX, NY 10451-5601
(718) 769-2698
(347) 402-8192
Mailing address
329 E 149TH ST, 4TH FLOOR, BRONX, NY 10451-5601
(718) 769-2698
(347) 402-8192
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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