Goodrum, Bethani J

Goodrum, Bethani J is an individual health care provider with primary practice located at 2344 Helen St N , North Saint Paul MN 55109-2942. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Goodrum, Bethani J can be contacted via phone (952) 746-5350.

Contact Information

Primary practice address
2344 Helen St N North Saint Paul MN 55109-2942
Phone: (952) 746-5350
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1073009130
LBN Legal business name Goodrum, Bethani J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2018
Last updated May 15th, 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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