Individual
ALEKSANDRA GOJKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5606 VIRGINIA BEACH BLVD STE 103, VIRGINIA BEACH, VA 23462-5631
(757) 807-0813
Mailing address
2564 SPRINGHAVEN DR, VIRGINIA BEACH, VA 23456-3997
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
00006318
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00006318
BCAT
VA
01
—
1366727984
CIVITAS NPI
VA
Enumeration date
02/26/2019
Last updated
02/26/2019
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