Individual
ANNA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 CHAPEL ST, NEWTON, MA 02458-1065
(510) 717-7402
Mailing address
61 CHAPEL ST, NEWTON, MA 02458-1010
(510) 717-7402
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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