Healthcare Provider Details

I. General information

NPI: 1306572466
Provider Name (Legal Business Name): PATRICIA SESSION
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2022
Last Update Date: 07/29/2022
Certification Date: 07/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 W NEW HAMPSHIRE AVE APT 435
DELAND FL
32720-8109
US

IV. Provider business mailing address

340 W NEW HAMPSHIRE AVE APT 435
DELAND FL
32720-8109
US

V. Phone/Fax

Practice location:
  • Phone: 386-215-1515
  • Fax:
Mailing address:
  • Phone: 386-215-1515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: