Individual
CAMAY ALEXANDRIA GOODRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
433 PLAZA REAL STE 275, BOCA RATON, FL 33432-3999
(561) 350-8592
Mailing address
3109 OAKLAND SHORES DR APT G104, OAKLAND PARK, FL 33309-5618
(954) 702-7449
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BACB369399
FL
106S00000X
Behavior Technician
CAMGOO052916
FL
Other
Enumeration date
10/11/2016
Last updated
02/06/2024
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