Individual
PATRICIA DEDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 N WASHINGTON ST, HERKIMER, NY 13350-1233
(315) 219-7303
Mailing address
430 N WASHINGTON ST, HERKIMER, NY 13350-1233
(315) 219-7303
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004576
NY
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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