Samantha Jane Gothard
Samantha Jane Gothard is a Behavior Technician in Huntington Beach, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
4952 Warner Ave Ste 300Huntington Beach, CA 92649-5506
Phone: (714) 587-9007
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CA) |
|---|
Record details
| NPI number | 1881292563 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 14, 2020 |
| Last updated in NPPES | December 5, 2020 |
| Certification date | December 5, 2020 |
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