Goodwin, Kelsie Breanna

Goodwin, Kelsie Breanna is an individual health care provider with primary practice located at 3001 S Jackson St , San Angelo TX 76904-5129. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Goodwin, Kelsie Breanna can be contacted via phone (325) 793-5497.

Contact Information

Primary practice address
3001 S Jackson St San Angelo TX 76904-5129
Phone: (325) 793-5497
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1417437187
LBN Legal business name Goodwin, Kelsie Breanna
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2018
Last updated Aug 21st, 2018 - about 8 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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