Individual
CHAUNTAE GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 HOTEL CIR N, SUITE 270, SAN DIEGO, CA 92108-2901
(619) 528-4600
(619) 528-4625
Mailing address
PO BOX 609001, SAN DIEGO, CA 92160-9001
(619) 528-4600
(619) 528-4625
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-15-01211
CA
Other
Enumeration date
01/25/2016
Last updated
04/11/2017
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