Individual
KYLIE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11006 EDWIN LADNER RD, PASS CHRISTIAN, MS 39571-9366
(601) 590-3283
Mailing address
1325 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3043
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-55728
—
Other
Enumeration date
12/21/2015
Last updated
12/08/2021
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