Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nino Goduadze, NONE

Individual provider Behavior Technician · NPI 1740982552

Nino Goduadze, NONE is a Behavior Technician in Glendale, California. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

201 N Brand Blvd Ofc 233
Glendale, CA 91203-3588
Phone: (818) 722-1770
Fax: (855) 568-2494
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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 number1740982552
Entity typeIndividual (Type 1)
GenderFemale
Credentials NONE
Sole proprietorNo
NPI enumeratedMarch 17, 2023
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

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