Individual
PATRICIA GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(603) 621-3516
(603) 622-8101
Mailing address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(603) 621-3516
(603) 622-8101
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34317
—
Other
Enumeration date
01/03/2019
Last updated
11/30/2021
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