Goodwyn, Diamond

Goodwyn, Diamond is an individual health care provider with primary practice located at 2901 Williamsburg Ter , Platte City MO 64079-7635. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Goodwyn, Diamond can be contacted via phone (816) 575-7739.

Contact Information

Primary practice address
2901 Williamsburg Ter Platte City MO 64079-7635
Phone: (816) 575-7739
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1770139545
LBN Legal business name Goodwyn, Diamond
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2019
Last updated Aug 16th, 2019 - about 7 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 1770139545 NPPES
Tennessee Other JEA011687890 BLUE CROSS BLUE SHIELD

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