Individual
LORI NICOLE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
2041 MILLER AVE, CHESAPEAKE, VA 23320-2435
(757) 617-5815
Mailing address
2041 MILLER AVE, CHESAPEAKE, VA 23320-2435
(757) 617-5815
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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