Goodin, Ray Travis
Goodin, Ray Travis is an sole proprietor health care provider with primary practice located at 2625 Wyandotte St # 17, Las Vegas NV 89102-6471. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is his primary health care specialty. Goodin, Ray Travis can be contacted via phone (313) 433-7330.Contact Information
Primary practice address
2625 Wyandotte St # 17
Las Vegas NV 89102-6471
Phone: (313) 433-7330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
| NPI number | 1023566023 |
|---|---|
| LBN Legal business name | Goodin, Ray Travis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2016 |
| Last updated | Oct 7th, 2016 - about 9 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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