Maricris Goatcher
Behavior Technician in Minneapolis, MN. Individual provider (NPI-1).
NPI number1043025596
StatusActive
Last updated in NPPESFeb 11, 2025
Details
- NPI
- 1043025596
- Entity type
- Individual (NPI-1)
- Name
- Maricris Goatcher
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2025
- Certification date
- Feb 11, 2025
- Last updated
- Feb 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2021 E Hennepin Ave Ste 360Minneapolis, MN 55413-1830
Phone 612-354-2962
Mailing address
973 158th StHammond, WI 54015-4835
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