Search › Louisiana › Behavior Technician
Jeff Gothard
NPI 1144084518 · on the registry since 2024
Practice
- Address
- 11607 Southfork Ave Bldg B
Baton Rouge, LA 70816 - Phone
- (614) 563-6436
- Clinicians at this address
- 724
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana