Individual
AHDAE KEMBA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3993 LAWRENCEVILLE HWY NW STE 110, LILBURN, GA 30047-2831
(404) 868-9646
Mailing address
1808 CHASELAKE DR, JONESBORO, GA 30236-7713
(678) 732-6675
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-283750
GA
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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