Godwin, Jennifer

Godwin, Jennifer is an individual health care provider with primary practice located at 2460 India Hook Rd Ste And105 , Rock Hill SC 29732-3530. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Godwin, Jennifer can be contacted via phone (803) 366-6250.

Contact Information

Primary practice address
2460 India Hook Rd Ste And105 Rock Hill SC 29732-3530
Phone: (803) 366-6250
Fax: (803) 905-4431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-6-3183 South Carolina

Profile Details

NPI number 1700095064
LBN Legal business name Godwin, Jennifer
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700095064 NPPES
South Carolina MEDICAID EX6562

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