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1952013625
JONATHAN GOODWIN
OMAHA, NE
NPI
1952013625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NE RBT-22-248046)
Enumeration Date
2022-12-14
Last Update Date
2022-12-14
Business Address
JONATHAN GOODWIN
9802 NICHOLAS ST STE 395
OMAHA, NE 68114-2168
Phone number: 402-252-1363
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Mailing Address
JONATHAN GOODWIN
311 BOULEVARD OF AMERICAS STE 304
LAKEWOOD, NJ 08701-4788
Phone number: 402-252-1363
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