Derek P Goodman
Derek P Goodman is a Behavior Technician in Kennett, Missouri. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1109 Jones StKennett, MO 63857-3824
Phone: (573) 888-5925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1194497925 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 30, 2021 |
| Last updated in NPPES | September 30, 2021 |
| Certification date | September 30, 2021 |
| Mailing address | 1109 Jones St, Kennett, MO 63857-3824 |
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1109 Jones St, Kennett, MO 63857-3824 · (573) 888-5925