Casey L Goodman
Behavior Technician in Pasadena, CA. Individual provider (NPI-1).
NPI number1245014166
StatusActive
Last updated in NPPESAug 22, 2023
Details
- NPI
- 1245014166
- Entity type
- Individual (NPI-1)
- Name
- Casey L Goodman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2023
- Certification date
- Aug 22, 2023
- Last updated
- Aug 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
225 S Lake Ave Ste 300Pasadena, CA 91101-3009
Phone 626-410-0299
Mailing address
225 S Lake Ave Ste 300Pasadena, CA 91101-3009
Phone 626-410-0299
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