Individual
PATRICE CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2515 KAVANAUGH RD APT 3, RUSTON, LA 71270-9542
(773) 827-0521
Mailing address
2515 KAVANAUGH RD APT 3, RUSTON, LA 71270-9542
(773) 827-0521
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
010946812
LA
Other
Enumeration date
11/16/2015
Last updated
03/08/2016
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