Individual
HEIDI JO GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/LBS
Contact information
Practice address
25 ROTHERMEL DR, YEAGERTOWN, PA 17099-9707
(717) 248-8540
Mailing address
1230 ALFARATA RD, LEWISTOWN, PA 17044-7106
(717) 994-9836
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003159
PA
Other
Enumeration date
05/18/2019
Last updated
05/18/2019
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