Alexis Suzanne Goodwin
Behavior Technician in Bountiful, UT. Individual provider (NPI-1).
NPI number1609591007
StatusActive
Last updated in NPPESOct 7, 2022
Details
- NPI
- 1609591007
- Entity type
- Individual (NPI-1)
- Name
- Alexis Suzanne Goodwin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2022
- Certification date
- Oct 7, 2022
- Last updated
- Oct 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2025 S 50 WBountiful, UT 84010-5559
Phone 801-548-3091 · Fax 801-992-7150
Mailing address
2025 S 50 WBountiful, UT 84010-5559
Phone 801-548-3091 · Fax 801-992-7150
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All 463 Behavior Technician providers in Bountiful · All 1,764 providers in Bountiful
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