Omar Godoy
Behavior Technician in Miami, FL. Individual provider (NPI-1).
NPI number1013665595
StatusActive
Last updated in NPPESMar 14, 2022
Details
- NPI
- 1013665595
- Entity type
- Individual (NPI-1)
- Name
- Omar Godoy
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 14, 2022
- Certification date
- Mar 14, 2022
- Last updated
- Mar 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
15900 Sw 197th AveMiami, FL 33187-1108
Phone 305-433-0376
Mailing address
15900 Sw 197th AveMiami, FL 33187-1108
Phone 305-433-0376
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