Individual
JAMIE S GOECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LBA
Contact information
Practice address
450 S LANDMARK AVE, BLOOMINGTON, IN 47403-5000
(812) 269-3214
Mailing address
450 S LANDMARK AVE, BLOOMINGTON, IN 47403-5000
(812) 269-3214
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000194
MI
Other
Enumeration date
03/01/2011
Last updated
07/20/2021
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