Individual
MS. NICOLE MICHELLE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
244 BEX CT APT B3, LAS CRUCES, NM 88005-3372
(757) 769-1994
Mailing address
244 BEX CT APT B3, LAS CRUCES, NM 88005-3372
(757) 769-1994
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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