Individual
MICHAELA ROSE GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
2035 W ILES AVE STE C, SPRINGFIELD, IL 62704-7000
(217) 679-5080
Mailing address
410 CEDAR ST, GREENFIELD, IL 62044-1512
(217) 370-7237
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
371001
IL
Other
Enumeration date
12/27/2018
Last updated
06/10/2022
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