Individual
CHAYA GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1594 SALEM ST, LAKEWOOD, NJ 08701-5434
(347) 861-5164
Mailing address
1594 SALEM ST, LAKEWOOD, NJ 08701-5434
(347) 861-5164
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11313562
NY
Other
Enumeration date
03/13/2013
Last updated
02/04/2016
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