Individual
CHANELLE GOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
603 E 39TH ST, BROOKLYN, NY 11203-5613
(347) 489-5105
Mailing address
603 E 39TH ST, BROOKLYN, NY 11203-5613
(347) 489-5105
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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