Individual
JESSICA GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5411 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-3473
(855) 772-8847
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41705
NM
Other
Enumeration date
12/28/2020
Last updated
03/03/2025
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