Ikesha Goodwin

NPI #1629487020 in Oak Park, Illinois

Provider Information

NPI Number: 1629487020
Entity Type: Individual
Name: Ikesha Goodwin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 11, 2014
Last Updated: Aug 11, 2014

Practice Location

Address: 219 N OAK PARK AVE
Address 2: UNIT 1E
City: Oak Park
State: Illinois
ZIP Code: 60302-2151
Phone: (715) 497-4416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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