Goodworth, Jessica

Goodworth, Jessica is an sole proprietor health care provider with primary practice located at 272 N Broadway St Ste 101 , Tooele UT 84074-2244. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Goodworth, Jessica can be contacted via phone (000) 000-0000.

Contact Information

Primary practice address
272 N Broadway St Ste 101 Tooele UT 84074-2244
Phone: (000) 000-0000
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1215440748
LBN Legal business name Goodworth, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2017
Last updated Nov 6th, 2017 - about 9 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.

Request for update

Popular Providers