Individual
HAILEY GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2001 HOYT ST, LAKEWOOD, CO 80215-1639
(303) 759-1192
Mailing address
2159 N RACE ST, DENVER, CO 80205-5637
(402) 517-7056
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1962740241
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-16-22356
BCBA
—
Enumeration date
08/25/2016
Last updated
07/02/2020
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