Individual
ASHLEY GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1015 S MERCER AVE, BLOOMINGTON, IL 61701-7107
(844) 263-1613
Mailing address
2550 N HOLLYWOOD WAY STE 301, BURBANK, CA 91505-5025
(747) 220-0012
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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