Individual
AUDREY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5545 E STOP 11 RD, INDIANAPOLIS, IN 46237-8616
(317) 960-5437
Mailing address
7901 E 88TH ST, INDIANAPOLIS, IN 46256-1235
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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