Individual
AMIE R GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA 2
Contact information
Practice address
1582 N WAGGONER RD, BLACKLICK, OH 43004-8669
(303) 989-8169
Mailing address
196 RIDGEVIEW DR, JOHNSTOWN, OH 43031-1138
(740) 404-6823
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
02/16/2021
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