Individual
BRIELLE VICTORIA JOY GOODNOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 NW BUCKLIN HILL RD STE 215, SILVERDALE, WA 98383-8363
(360) 633-7856
Mailing address
3100 NW BUCKLIN HILL RD STE 215, SILVERDALE, WA 98383-8363
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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