Individual
ANEETRIA GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
231 S DILLWYN RD, NEWARK, DE 19711-5549
(215) 500-5771
Mailing address
231 S DILLWYN RD, NEWARK, DE 19711-5549
(215) 500-5771
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005364
PA
Other
Enumeration date
06/24/2019
Last updated
02/06/2024
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