Individual
DJIMIR GOUBOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 OLD COUNTRY RD STE C103N, WESTBURY, NY 11590-5156
(516) 806-6969
Mailing address
1400 OLD COUNTRY RD STE C103N, WESTBURY, NY 11590-5156
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004570
NY
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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