Individual
ALAJAH GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 W GRAHAM AVE STE 106, LAKE ELSINORE, CA 92530-3665
(888) 638-8457
Mailing address
506 W GRAHAM AVE STE 106, LAKE ELSINORE, CA 92530-3665
(888) 638-8457
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
172V00000X
Community Health Worker
Primary
F4417022
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F4417022
—
CA
Enumeration date
03/02/2021
Last updated
03/26/2026
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