Individual
DAWNIELLE MONIQUE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
35 WALPOLE ST STE 207, STAFFORD, VA 22554-6546
(540) 383-7133
Mailing address
137 PECK LN, SUFFOLK, VA 23434-7678
(269) 873-3293
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
VA
106E00000X
Assistant Behavior Analyst
—
VA
106S00000X
Behavior Technician
—
VA
Other
Enumeration date
12/16/2018
Last updated
05/14/2024
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