Individual
CHASSIDY M GOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBT
Contact information
Practice address
3003 ALDERBROOK CT S, PUYALLUP, WA 98374-1626
(406) 249-6412
(855) 249-2776
Mailing address
3003 ALDERBROOK CT S, PUYALLUP, WA 98374-1626
(406) 249-6412
(855) 249-2776
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
60941882
WA
Other
Enumeration date
08/24/2019
Last updated
08/24/2019
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