Most Relevant Information
Provider Data
| NPI Number: | 1003352436 |
| Provider Name: | MEGAN GODOY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/09/2017 |
| Last Updated: | 01/09/2017 |
Provider Practice Location
626 MOLINAR AVE
LA PUENTE
CA
917444028
Practice Location Phone/Fax
| Phone: | 6264197282 |
| Fax: |
Provider Mailing Location
626 MOLINAR AVE
LA PUENTE
CA
917444028
Provider Mailing Phone/Fax
| Phone: | 6264197282 |
| Fax: |