Individual
ASHANTI M GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
239 INDEPENDENCE BLVD., SUITE 400, VIRGINIA BEACH, VA 23462
(757) 785-3338
Mailing address
1201 MARCO DR, CHESAPEAKE, VA 23323-1609
(757) 339-6776
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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