Individual
MRS. DANIELLE SARA GODISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
6901 59TH WAY N, PINELLAS PARK, FL 33781-5457
(727) 492-5369
Mailing address
6901 59TH WAY N, PINELLAS PARK, FL 33781-5457
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689077696 & 68907769
—
FL
Enumeration date
08/04/2010
Last updated
08/04/2010
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