Individual
SETH GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3809 LAKE EASTBROOK BLVD SE STE A, GRAND RAPIDS, MI 49546-5931
(616) 604-8492
Mailing address
3809 LAKE EASTBROOK BLVD SE STE A, GRAND RAPIDS, MI 49546-5931
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
01/23/2026
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