Most Relevant Information
Provider Data
NPI Number: | 1003539396 |
Provider Name: | ROB GOODHUE |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 09/21/2022 |
Last Updated: | 10/12/2023 |
Provider Practice Location
608 E HICKORY ST STE 128
DENTON
TX
762054311
Practice Location Phone/Fax
Phone: | 9402228556 |
Fax: |
Provider Mailing Location
2790 KELLER HICKS RD
FORT WORTH
TX
762449610
Provider Mailing Phone/Fax
Phone: | |
Fax: |