Individual
SHAMIKA GODBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5420 SCHOLARSHIP DR, VIRGINIA BEACH, VA 23462-7334
(646) 683-8074
Mailing address
5420 SCHOLARSHIP DR, VIRGINIA BEACH, VA 23462-7334
(646) 683-8074
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
0134000323
VA
Other
Enumeration date
02/16/2018
Last updated
01/03/2024
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