Individual
JAMES GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3294 GA-5, DOUGLASVILLE, GA 30135
(888) 329-4535
Mailing address
2 JOHNNY MERCER BLVD APT 1613, SAVANNAH, GA 31410-3327
(774) 264-1003
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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