Individual
AMANDA GOODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
105 LOUDON RD BLDG 3, CONCORD, NH 03301-5600
(603) 228-0547
Mailing address
PO BOX 2032, CONCORD, NH 03302-2032
(603) 226-7505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-17-25893
NH
Other
Enumeration date
02/26/2007
Last updated
07/21/2022
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