=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396653929
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PATRONIE LATRICE STRONG BCBA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/01/2026
-----------------------------------------------------
Last Update Date | 09/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 907 TRADEWINDS BLVD
-----------------------------------------------------
City | MIDLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79706-3600
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 432-253-3315
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 907 TRADEWINDS BLVD
-----------------------------------------------------
City | MIDLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79706-3600
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 432-253-3315
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2080P0006X
-----------------------------------------------------
Taxonomy Name | Developmental - Behavioral Pediatrics Physician
-----------------------------------------------------
License Number | 1262841541
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------