Goff, Andrea

Goff, Andrea is an sole proprietor health care provider with primary practice located at 1124 Kyle Wood Ln , Brandon FL 33511-4850. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Goff, Andrea can be contacted via phone (813) 548-7259.

Contact Information

Primary practice address
1124 Kyle Wood Ln Brandon FL 33511-4850
Phone: (813) 548-7259
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1679992861
LBN Legal business name Goff, Andrea
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2014
Last updated Mar 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679992861 NPPES
Florida MEDICAID 017772500

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