Individual
CHARLES TAYLOR GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
495 CENTURY CT, VIRGINIA BEACH, VA 23462-4303
(757) 317-0600
(757) 317-0900
Mailing address
3873 STRAWBERRY PLAINS RD, WILLIAMSBURG, VA 23188-3403
(804) 801-8807
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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