Individual
COLLEEN ELIZABETH PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
545 DEWEY PARKER AVE, AUDUBON, NJ 08106-1905
(609) 922-4114
Mailing address
545 DEWEY PARKER AVE, AUDUBON, NJ 08106-1905
(609) 922-4114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3906
NJ
Other
Enumeration date
06/22/2011
Last updated
07/16/2019
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