Individual
DENNIS W GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1053 OAKLAND DR, ELGIN, SC 29045-9279
(803) 413-5798
Mailing address
1053 OAKLAND DR, ELGIN, SC 29045-9279
(803) 413-5798
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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