Individual
CHELSEA GOURLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22283 MAIN ST, HAYWARD, CA 94541-4004
(800) 249-4961
Mailing address
1512 DAVIS AVE, CONCORD, CA 94519-2846
(760) 716-9523
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22550
CA
Other
Enumeration date
02/09/2017
Last updated
11/16/2020
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