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Individual

JAMIE GOOTEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1900 MIDLAND TRL STE 1&2, SHELBYVILLE, KY 40065-8141
(502) 633-1007
(502) 437-0624
Mailing address
1900 MIDLAND TRL STE 1&2, SHELBYVILLE, KY 40065-8141
(502) 633-1007
(502) 437-0624

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
165431
KY

Other

Enumeration date
02/01/2016
Last updated
07/19/2016
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