Individual
NICHOLE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBT
Contact information
Practice address
13709 TWIN LAKES DR E, GRAHAM, WA 98338-7574
(253) 389-8226
(360) 879-5108
Mailing address
PO BOX 14, GRAHAM, WA 98338-0014
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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