Individual
SHELBY GOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7440 HIGHWAY 92, WOODSTOCK, GA 30189-5235
(770) 212-2170
Mailing address
911 N GOLIAD ST, ROCKWALL, TX 75087-2230
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51429
TX
106S00000X
Behavior Technician
RBT-18-70655
TX
Other
Enumeration date
12/16/2020
Last updated
12/12/2023
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