Tierra Alexus Goodrum
Tierra Alexus Goodrum is a Behavior Technician in Deerfield Beach, Florida. Licensed in Florida. Registered with an NPI since 2023.
- Licensed in
- FL
- In the registry since
- 2023
Practice location Address checks out
350 Fairway Dr Ste 101Deerfield Beach, FL 33441-1834
Phone: (877) 418-2978
Fax: (866) 500-2186
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (FL) |
|---|
Record details
| NPI number | 1134812076 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 26, 2023 |
| Last updated in NPPES | February 13, 2024 |
| Certification date | February 13, 2024 |
| Mailing address | 350 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1834 |
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