Individual
AMANDA BAYLEE GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18401 TIMBER FOREST DR, HUMBLE, TX 77346-2535
(281) 852-0501
Mailing address
9314 RYDER DR, SAN ANTONIO, TX 78254-2000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-201831
TX
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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