Organization
GOALS FOR AUTISM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRYON KETCHAM (CEO)
(415) 915-9408
Entity
Organization
Contact information
Practice address
3597 E MONARCH SKY LN STE 240, MERIDIAN, ID 83646-1055
(888) 531-8385
Mailing address
3597 E MONARCH SKY LN STE 240, MERIDIAN, ID 83646-1055
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
11/11/2022
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