Individual
ALEXANDER GOITEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, PPSC, BCBA
Contact information
Practice address
1028 PRINCE AVE, HEALDSBURG, CA 95448-3596
(707) 431-3488
Mailing address
3808 ZIEBER RD, SANTA ROSA, CA 95404-2636
(707) 575-3290
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-14-17837
CA
1041C0700X
Clinical Social Worker
82400
CA
1041S0200X
School Social Worker
Primary
PPSC-200145814
CA
Other
Enumeration date
07/08/2013
Last updated
06/09/2023
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