Ashtin Renay Gohman
Behavior Technician in Irvine, CA. Individual provider (NPI-1).
NPI number1164092615
StatusActive
Last updated in NPPESJun 28, 2021
Details
- NPI
- 1164092615
- Entity type
- Individual (NPI-1)
- Name
- Ashtin Renay Gohman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 28, 2021
- Certification date
- Jun 28, 2021
- Last updated
- Jun 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1063 McGaw Ave Ste 100Irvine, CA 92614-5554
Phone 714-834-1111
Mailing address
951 S Beach BlvdLa Habra, CA 90631-1648
Phone 562-360-2667
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