Individual
KIMBERLY BETH GORHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
2016 ANTWERP AVE, PLANO, TX 75025-3321
(972) 896-5083
Mailing address
2016 ANTWERP AVE, PLANO, TX 75025-3321
(972) 896-5083
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10366
TX
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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