ELLYSSA GOGENOLA

Behavior Technician

Active Individual
NPI: 1447866306

Practice Address

9901 NE 7TH AVE STE C116
Vancouver, WA 98685

Phone: (360) 571-2432

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1447866306 is the National Provider Identifier for ELLYSSA GOGENOLA, a Behavior Technician provider located in Vancouver, WA. This NPI was enumerated on September 16, 2020.
ELLYSSA GOGENOLA practices at 9901 NE 7TH AVE STE C116, Vancouver, WA 98685.

Quick Facts

NPI
1447866306
Type
Individual
Enumerated
Sep 16, 2020
Last Updated
Sep 16, 2020

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