Jessica Goldtooth, PSR INSTRUCTOR

NPI #1982159653 in Rio Rancho, New Mexico

Provider Information

NPI Number: 1982159653
Entity Type: Individual
Name: Jessica Goldtooth, PSR INSTRUCTOR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: PSR INSTRUCTOR
Enumeration Date: Aug 23, 2016
Last Updated: Jan 22, 2019

Practice Location

Address: 184 UNSER BLVD NE
City: Rio Rancho
State: New Mexico
ZIP Code: 87124-4045
Phone: (505) 896-0928

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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