Daranna Elisa Goodwin
Individual provider Active NPI Behavior Technician · Beaumont, TX
NPI 1992448484 · NPPES record last updated Apr 14, 2022
Key facts
- NPI
- 1992448484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 7485 Phelan Blvd
Beaumont, TX 77706-5748 - Phone
- (346) 333-1902
- NPI assigned
- Apr 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
7485 Phelan Blvd
Beaumont, TX 77706-5748
Mailing address
7485 Phelan Blvd
Beaumont, TX 77706-5748
Phone (346) 333-1902
Other providers in Beaumont, TX
- John Gonzalez
- Rosa Cristina Gonzalez
- Sylvia Claudine Gonzalez
- Lauren Goodhue
- Nathan Alan Goodman
- Angela Tomplait Gore
- Tiffany Gore
- Suraj Arungiri Gosai
- Amber L Gossett
- Sushanta K. Goswami
All providers in Beaumont, TX · Behavior Technician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.