Individual
SYLVIA GOSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E RUDISILL BLVD STE 100B, FORT WAYNE, IN 46806-1756
(260) 255-3665
Mailing address
2377 ROAD 33, PAYNE, OH 45880-9656
(419) 231-1895
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/25/2025
Last updated
06/05/2026
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