Individual
MRS. PATRICE GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
25 APOLLO AVE, AVENEL, NJ 07001-1430
(732) 425-2413
Mailing address
25 APOLLO AVE, AVENEL, NJ 07001-1430
(732) 425-2413
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53634
NJ
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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