Individual
LEVI E GOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2111 E BASELINE RD STE A2, TEMPE, AZ 85283-1505
(480) 489-3925
Mailing address
201 W HERMOSA DR, NW-203, TEMPE, AZ 85282
(303) 759-4666
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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