NPI 1023856663

Amanda Gossens

Practitioner Behavior Technician Gillette, WY

Practice location

Address: 1300 W 4th St, Gillette, WY 82716-3330
Phone: (888) 924-2366
Fax: (888) 263-5638
Mailing address: 5475 Knoll Pl, Highlands Ranch, CO 80130-8044

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-24-332571 (WY)

Other Behavior Technician providers in Wyoming →

Registry record

NPI: 1023856663
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2024
Record last updated: 18 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.