Individual
CASSANDRA M GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4412 SUNRAY AVE, CHESAPEAKE, VA 23321-2628
(757) 774-3000
Mailing address
4412 SUNRAY AVE, CHESAPEAKE, VA 23321-2628
(175) 777-4300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
VA
106S00000X
Behavior Technician
RBT-21-178306
VA
Other
Enumeration date
08/13/2021
Last updated
01/27/2023
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