Individual
RICCI ALISHA GOGUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 E ROWAN AVE STE 201, SPOKANE, WA 99207-1200
(509) 844-4966
(509) 319-2338
Mailing address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
(508) 478-0207
(508) 634-6984
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA60928335
WA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
07/02/2012
Last updated
06/09/2021
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