Goska, Nicole M

Goska, Nicole M is an individual health care provider with primary practice located at 1800 S Lawe St , Appleton WI 54915-2473. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Goska, Nicole M can be contacted via phone (920) 262-1998.

Contact Information

Primary practice address
1800 S Lawe St Appleton WI 54915-2473
Phone: (920) 262-1998
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1255039103
LBN Legal business name Goska, Nicole M
Credentials BTT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2023
Last updated Feb 20th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255039103 NPPES
Wisconsin MEDICAID 100094269

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