Individual
KATHERINE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2349 S PEWTER DR, MACUNGIE, PA 18062-9048
(610) 530-0273
Mailing address
2349 S PEWTER DR, MACUNGIE, PA 18062-9048
(610) 530-0273
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001685
PA
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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