Individual
MRS. MAUREEN CANDICE GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1937 CHURCHILL DR, SOUTH BEND, IN 46617-2212
(317) 450-3333
Mailing address
1937 CHURCHILL DR, SOUTH BEND, IN 46617-2212
(317) 450-3333
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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