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1740014125
ALEXIS GODDARD
BROOKLYN, NY
NPI
1740014125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106E00000X Assistant Behavior Analyst
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
ALEXIS GODDARD BCBA
6214 24TH AVE
BROOKLYN, NY 11204-3319
Phone number: 802-734-8895
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Mailing Address
ALEXIS GODDARD BCBA
861 TRUCK RTE
ALBURGH, VT 05440-9105
Phone number:
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