Individual
EMELIE GOODPASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 DONNEL BLVD STE Q, DALEVILE, AL 36322
(334) 709-4024
Mailing address
294 DOGWOOD STREET, MIDLAND CITY, AL 36350
(334) 432-2280
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-361460
AL
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
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