Most Relevant Information
Provider Data
| NPI Number: | 1003270067 |
| Provider Name: | COURTNEY GORMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2016 |
| Last Updated: | 04/06/2016 |
Provider Practice Location
4 BARLOWS LANDING RD
SUITE 13
POCASSET
MA
025591980
Practice Location Phone/Fax
| Phone: | 5085635767 |
| Fax: |
Provider Mailing Location
4 BARLOWS LANDING RD
SUITE 13
POCASSET
MA
025591980
Provider Mailing Phone/Fax
| Phone: | 5085635767 |
| Fax: |