Antonia Gorham

NPI #1013611847 in Carlsbad, California

Provider Information

NPI Number: 1013611847
Entity Type: Individual
Name: Antonia Gorham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 27, 2023
Last Updated: Mar 27, 2023

Practice Location

Address: 2888 LOKER AVE E STE 105
City: Carlsbad
State: California
ZIP Code: 92010-6683
Phone: (619) 795-9925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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