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Individual

JALISHA R PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1404 GASCHO DR, DAYTON, OH 45410-3305
(937) 252-7500
Mailing address
11 W MONUMENT AVE FL 7, DAYTON, OH 45402-1274
(937) 461-4300

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1326012360
AGENCY NPI
OH
Enumeration date
03/21/2019
Last updated
03/21/2019
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