Individual
BRYNN GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
29101 IN-19, ATLANTA, IN 46031-4603
(317) 918-2689
Mailing address
7425 WESTFIELD BLVD, INDIANAPOLIS, IN 46240-3056
(317) 918-2689
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-81348
IN
Other
Enumeration date
09/09/2020
Last updated
02/26/2025
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