Gosiker, Jaimie
Gosiker, Jaimie is an individual health care provider with primary practice located at 124 Capulet Dr Ste 102 , Saint Augustine FL 32092-4538. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gosiker, Jaimie can be contacted via phone (904) 602-9745.Contact Information
Primary practice address
124 Capulet Dr Ste 102
Saint Augustine FL 32092-4538
Phone: (904) 602-9745
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1144749953 |
|---|---|
| LBN Legal business name | Gosiker, Jaimie |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2017 |
| Last updated | Aug 18th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144749953 | NPPES |
| Florida | MEDICAID | 009093700 | |
| Florida | Other | 1639320203 |
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