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Individual

AMYRIA SHAVELL GOODEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9201 N CENTRAL EXPY, DALLAS, TX 75231-6033
(214) 851-1031
Mailing address
8901 VANTAGE POINT DR, DALLAS, TX 75243-3566
(469) 545-3452

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
TX

Other

Enumeration date
12/17/2025
Last updated
12/17/2025
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