Individual
CASEY GOSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6171 KEMPSVILLE CIR, NORFOLK, VA 23502-3930
(757) 622-2208
Mailing address
PO BOX 85073 #47141, RICHMOND, VA 23285
(305) 846-9807
(305) 846-9711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001152
VA
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
VA
Other
Enumeration date
04/04/2017
Last updated
11/29/2023
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