Shelby Goodwin

NPI #1962294546 in Venice, California

Provider Information

NPI Number: 1962294546
Entity Type: Individual
Name: Shelby Goodwin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 20, 2025
Last Updated: Sep 27, 2025

Practice Location

Address: 204 HAMPTON DR
City: Venice
State: California
ZIP Code: 90291-2623
Phone: (310) 396-6468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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