Individual
EMMA MARGARET GOODRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MAIN ST STE 100, DOVER, NH 03820-3835
(603) 812-5521
(844) 866-8240
Mailing address
100 MAIN ST STE 100, DOVER, NH 03820-3835
(603) 812-5521
(844) 866-8240
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-238984
NH
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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