Deontae Gooden
Behavior Technician in Lincoln, RI. Individual provider (NPI-1).
NPI number1023909710
StatusActive
Last updated in NPPESJul 11, 2025
Details
- NPI
- 1023909710
- Entity type
- Individual (NPI-1)
- Name
- Deontae Gooden
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2025
- Certification date
- Jul 11, 2025
- Last updated
- Jul 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
24 Albion RdSuite 320
Lincoln, RI 02865-3746
Phone 855-295-3276 · Fax 888-588-2752
Mailing address
1333 S Mayflower AveSuite 220
Monrovia, CA 91016-4066
Phone 818-241-6780 · Fax 888-588-2752
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All 169 Behavior Technician providers in Lincoln · All 703 providers in Lincoln
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