Individual
SARA SHAUN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP.ED., BCBA, LBA
Contact information
Practice address
18765 SW BOONES FERRY RD, TUALATIN, OR 97062-8496
(503) 612-1000
Mailing address
6411 SE 60TH AVE, PORTLAND, OR 97206-6715
(720) 394-6154
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10186879
OR
Other
Enumeration date
08/29/2016
Last updated
06/17/2024
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