Individual
PATRICE WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13765 VINTAGE DR SW, PORT ORCHARD, WA 98367-7391
(253) 970-2414
Mailing address
618 SHIREHILL ST, BREMERTON, WA 98310-2307
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-82307
WA
Other
Enumeration date
02/08/2022
Last updated
01/02/2026
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