Individual
ANDREA GOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 KYLE WOOD LN, BRANDON, FL 33511-4850
(813) 548-7259
Mailing address
515 HILLDALE RD, BRANDON, FL 33510-3513
(813) 385-6455
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017772500
—
FL
Enumeration date
04/15/2014
Last updated
03/24/2022
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