Individual
BRIDGET DOYLE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
107 W 82ND ST # ST101, NEW YORK, NY 10024-5511
(503) 949-5034
Mailing address
247 E 94TH ST APT 5S, NEW YORK, NY 10128-3989
(503) 949-5034
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38981
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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