Gooding, Leslie

Gooding, Leslie is an individual health care provider with primary practice located at 110 E Leroy St , Fort Mill SC 29715-1808. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gooding, Leslie can be contacted via phone (803) 322-8490.

Contact Information

Primary practice address
110 E Leroy St Fort Mill SC 29715-1808
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-22-199624 South Carolina

Profile Details

NPI number 1013615038
LBN Legal business name Gooding, Leslie
Credentials BACB740780
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2023
Last updated Feb 20th, 2023 - 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 1013615038 NPPES
Other 106S00000X CIGNA SC

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