Individual
JOHN GOTTFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3303 SAMPSONVILLE RD, ENOSBURG FALLS, VT 05450-5398
(978) 771-2863
Mailing address
3303 SAMPSONVILLE RD, ENOSBURG FALLS, VT 05450-5398
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31-653
MA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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