Individual
MARISA CELESTE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 BRITTMOORE RD STE A, HOUSTON, TX 77043-5034
(713) 932-0074
Mailing address
1155 BRITTMOORE RD STE A, HOUSTON, TX 77043-5034
(713) 932-0074
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3063
TX
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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