Ray Travis Goodin

NPI #1023566023 in Las Vegas, Nevada

Provider Information

NPI Number
1023566023
Entity Type
Individual
Name
Ray Travis Goodin
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Sep 19, 2016
Last Updated
Oct 7, 2016

Practice Location

Address
2625 WYANDOTTE ST
Address 2
# 17
State
Nevada
ZIP Code
89102-6471
Phone
(313) 433-7330

Specialties & Taxonomy Codes

Specialty
Behavior Technician
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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