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:
Health care specialties
Specialty | Code | License # | 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 2 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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