NPI 1851069454

Jamie Gough, MALABA

Practitioner Assistant Behavior Analyst Bellingham, WA

Practice location

Address: 4201 Meridian St, Bellingham, WA 98226-5532
Phone: (360) 305-3275

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence AB61562542 (WA)

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Registry record

NPI: 1851069454
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2021
Record last updated: 22 Oct 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.