Individual
JAMIE GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LABA
Contact information
Practice address
4201 MERIDIAN ST, BELLINGHAM, WA 98226-5532
(360) 305-3275
Mailing address
4201 MERIDIAN ST, BELLINGHAM, WA 98226-5532
(360) 305-3275
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
AB61562542
WA
Other
Enumeration date
08/31/2021
Last updated
10/22/2024
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