Macy Faith Gossage

NPI #1154176519 in Richmond, Kentucky

Provider Information

NPI Number: 1154176519
Entity Type: Individual
Name: Macy Faith Gossage
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 19, 2024
Last Updated: Apr 19, 2024

Practice Location

Address: 116 BAYVIEW DR
City: Richmond
State: Kentucky
ZIP Code: 40475-7511
Phone: (859) 940-3510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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