Individual
MS. PATRICIA GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 ECHO LN, NEWBURGH, NY 12550-1430
(845) 565-3293
Mailing address
22 ECHO LN, NEWBURGH, NY 12550-1430
(845) 565-3293
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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