Individual
JANAY GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMSW
Contact information
Practice address
3232 CANDELARIA RD NE, ALBUQUERQUE, NM 87107-1907
(505) 323-3785
Mailing address
12004 ZIA RD NE APT C3, ALBUQUERQUE, NM 87123-1447
(505) 401-4811
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
12/01/2016
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