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Individual

AMBER LYNN GOFORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., BCBA

Contact information

Practice address
1803 RICHMOND PKWY STE 600, RICHMOND, TX 77469-3641
(346) 241-0137
Mailing address
14723 W OAKS PLAZA DR APT 1221, HOUSTON, TX 77082-3991
(337) 212-5966
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3238
TX
103K00000X
Behavior Analyst
LA

Other

Enumeration date
08/11/2018
Last updated
01/17/2023
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