Goodwin, Avery

Goodwin, Avery is an individual health care provider with primary practice located at 6810 Fort Jackson Ct , Milton FL 32583-7692. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Goodwin, Avery can be contacted via phone (850) 503-6636.

Contact Information

Primary practice address
6810 Fort Jackson Ct Milton FL 32583-7692
Phone: (850) 503-6636
Fax: (850) 626-6132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-21-11965
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-110822 Florida

Profile Details

NPI number 1124659438
LBN Legal business name Goodwin, Avery
Credentials BCABA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2020
Last updated Apr 2nd, 2021 - 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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