Gorham, Kimberly Beth

Gorham, Kimberly Beth is an sole proprietor health care provider with primary practice located at 2016 Antwerp Ave , Plano TX 75025-3321. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gorham, Kimberly Beth can be contacted via phone (972) 896-5083.

Contact Information

Primary practice address
2016 Antwerp Ave Plano TX 75025-3321
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-12-10366 Texas

Profile Details

NPI number 1790049930
LBN Legal business name Gorham, Kimberly Beth
Credentials M.ED, BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2012
Last updated Jul 3rd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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