Individual
MR. JONATHAN DAVID GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
250 COMMERCIAL ST STE 4021, MANCHESTER, NH 03101-1120
(603) 263-9628
Mailing address
36 MIDRIDGE CIR, LONDONDERRY, NH 03053-3303
(508) 633-4259
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
09/13/2023
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