Individual
MS. LAUREN GOODWYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
101 EISENHOWER PKWY STE 300, ROSELAND, NJ 07068-1054
(844) 823-7865
(844) 711-9920
Mailing address
101 EISENHOWER PKWY STE 300, ROSELAND, NJ 07068-1054
(844) 823-7865
(844) 711-9920
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11622101
NJ
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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