Alysse Kathleen Gobert
Behavior Technician in Beaverton, OR. Individual provider (NPI-1).
NPI number1346752425
StatusActive
Last updated in NPPESJun 29, 2023
Details
- NPI
- 1346752425
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Alysse Kathleen Gobert
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 30, 2017
- Certification date
- Jun 29, 2023
- Last updated
- Jun 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6200 Sw Arctic DrBeaverton, OR 97005-9447
Phone 503-686-1786
Mailing address
6200 Sw Arctic DrBeaverton, OR 97005-9447
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