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Organization
GOIABA GROUP LLC
Active
Organization
GOIABA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUELY CRISTINA JOHNS (EXECUTIVE DIRECTOR/OWNER)
(951) 966-3438
Entity
Organization
Contact information
Practice address
25000 AVENUE STANFORD STE 141, VALENCIA, CA 91355-4594
(951) 966-3438
Mailing address
25539 VIA PALADAR, VALENCIA, CA 91355-3153
(951) 966-3438
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
Primary
—
—
224Z00000X
Occupational Therapy Assistant
—
—
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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