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1518570522
BROOKLYN A GOODRICH
FORT WAYNE, IN
NPI
1518570522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: RBT-20-111608)
Enumeration Date
2020-08-28
Last Update Date
2020-08-28
Business Address
BROOKLYN A GOODRICH RBT
5601 COVENTRY LN
FORT WAYNE, IN 46804-7145
Phone number: 260-459-6040
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Mailing Address
BROOKLYN A GOODRICH RBT
5601 COVENTRY LN
FORT WAYNE, IN 46804-7145
Phone number: 260-459-6040
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