Jennifer Gough
Jennifer Gough is a Behavior Technician in Riverside, California. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
525 Technology Ct Ste 105Riverside, CA 92507-2181
Phone: (951) 686-8500
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1912589433 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 23, 2021 |
| Last updated in NPPES | March 8, 2022 |
| Certification date | March 8, 2022 |
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