Individual
ALEXIS GODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(802) 734-8895
Mailing address
861 TRUCK RTE, ALBURGH, VT 05440-9105
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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