Goodin, Samantha Jo

Goodin, Samantha Jo is an individual health care provider with primary practice located at 507 E Armstrong Ave , Peoria IL 61603-3201. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Goodin, Samantha Jo can be contacted via phone (309) 686-1177.

Contact Information

Primary practice address
507 E Armstrong Ave Peoria IL 61603-3201
Phone: (309) 686-1177
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-22-218796 Illinois

Profile Details

NPI number 1407587850
LBN Legal business name Goodin, Samantha Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2022
Last updated Jun 20th, 2022 - about 3 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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