Individual
ANGELA GOSSELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1256 1ST PL, HERMOSA BEACH, CA 90254-5303
(603) 361-3831
Mailing address
1256 1ST PL, HERMOSA BEACH, CA 90254-5303
(603) 361-3831
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40173
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/03/2018
Last updated
01/24/2020
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