Gould, Amber Michelle
Gould, Amber Michelle is an sole proprietor health care provider with primary practice located at 719 Spencer St , Logansport IN 46947-3583. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gould, Amber Michelle can be contacted via phone (574) 225-1128.Contact Information
Primary practice address
719 Spencer St
Logansport IN 46947-3583
Phone: (574) 225-1128
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Indiana |
Profile Details
| NPI number | 1912628090 |
|---|---|
| LBN Legal business name | Gould, Amber Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2022 |
| Last updated | Sep 7th, 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 | 1912628090 | NPPES |
| Indiana | Other | RBT-21-183355 | BEHAVIOR ANALYST CERTIFICATION BOARD |
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