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Jessica Goldtooth, PSR Instructor

Behavior Analyst in Rio Rancho, NM. Individual provider (NPI-1).

NPI number1982159653
StatusActive
Last updated in NPPESJan 22, 2019

Details

NPI
1982159653
Entity type
Individual (NPI-1)
Name
Jessica Goldtooth
Credential
PSR Instructor
Sex
Female
Sole proprietor
No
Enumeration date
Aug 23, 2016
Last updated
Jan 22, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

184 Unser Blvd Ne
Rio Rancho, NM 87124-4045

Phone 505-896-0928

Mailing address

184 Unser Blvd Ne
Rio Rancho, NM 87124-4045

Phone 505-896-0928

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