Individual
JA'VONNA DANIELLE GOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 HAMMOND PLZ, HOPKINSVILLE, KY 42240-4971
(270) 215-5945
Mailing address
PO BOX 931142, ATLANTA, GA 31193-1142
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
RBT-26-547581
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/05/2019
Last updated
08/07/2026
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