Individual
MEGAN GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3777 LONE PINE DR APT 10, HOLT, MI 48842-7719
(517) 604-0117
Mailing address
3777 LONE PINE DR APT 10, HOLT, MI 48842-7719
(517) 604-0117
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001582
MI
247200000X
Other Technician
—
MI
Other
Enumeration date
05/18/2016
Last updated
10/05/2022
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