Individual
SIARA GOODYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31645 N ROYAL OAK WAY, SAN TAN VALLEY, AZ 85143-6341
(480) 677-3349
Mailing address
4497 E FIRESTONE DR, CHANDLER, AZ 85249-7380
(480) 662-1691
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
BACB1260448
AZ
2355S0801X
Speech-Language Assistant
Primary
SLPA11183
AZ
Other
Enumeration date
05/19/2018
Last updated
05/28/2026
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