Courtney Rose Goddard
Behavior Technician in Gahanna, OH. Individual provider (NPI-1).
NPI number1174157119
StatusActive
Last updated in NPPESFeb 28, 2020
Details
- NPI
- 1174157119
- Entity type
- Individual (NPI-1)
- Name
- Courtney Rose Goddard
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 28, 2020
- Certification date
- Feb 28, 2020
- Last updated
- Feb 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
594 Arbors CirGahanna, OH 43230-3425
Phone 614-307-5149
Mailing address
3070 Riverside DrUpper Arlington, OH 43221-2547
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