MRS. Fara Diane Goodwyn, M.ED., BCBA

NPI #1144519398 in Bryan, Texas

Provider Information

NPI Number: 1144519398
Entity Type: Individual
Name: MRS. Fara Diane Goodwyn, M.ED., BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: M.ED., BCBA
Enumeration Date: Mar 28, 2011
Last Updated: Mar 28, 2011

Practice Location

Address: 1318 MEMORIAL DR
City: Bryan
State: Texas
ZIP Code: 77802-5215
Phone: (979) 776-2872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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