Xymena Goodridge
Behavior Technician in Austin, TX. Individual provider (NPI-1).
NPI number1689020281
StatusActive
Last updated in NPPESJul 6, 2020
Details
- NPI
- 1689020281
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Xymena Goodridge
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 12, 2016
- Certification date
- Jul 6, 2020
- Last updated
- Jul 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 373H00000X | Day Training/Habilitation Specialist | – | – |
Practice location
3800 N Lamar BlvdAustin, TX 78756-4011
Phone 818-241-6780
Mailing address
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
Phone 818-241-6780 · Fax 818-241-6853
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