Provider Demographics
NPI:1588497721
Name:HORN, PATRICK SOLOMON (RBT)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:SOLOMON
Last Name:HORN
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1737 REMSON AVE
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-2612
Mailing Address - Country:US
Mailing Address - Phone:516-460-5739
Mailing Address - Fax:
Practice Address - Street 1:1737 REMSON AVE
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-2612
Practice Address - Country:US
Practice Address - Phone:516-460-5739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician