Avery Goodwin
Behavior Technician Assistant Behavior Analyst
6810 Fort Jackson Ct
Milton
, Florida 32583-7692
Avery Goodwin
Behavior Technician Assistant Behavior Analyst
6810 Fort Jackson Ct
Milton
, Florida 32583-7692
(850) 626-6132
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About
Features
Specialties
- Assistant Behavior Analyst
- Behavior Technician
Languages spoken
- English
Location
First Address
- Avery Goodwin
- 6810 Fort Jackson Ct
- Milton, FL
- Zip : 32583-7692
- Fax : (850) 626-6132
- Phone : (850) 503-6636
Second Address
- Avery Goodwin
- 6810 Fort Jackson Ct
- Milton, FL
- Zip : 32583-7692
- Fax : (850) 626-6132
- Phone : (850) 503-6636
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-21-11965 | |
| N | 106S00000X | Behavior Technician | RBT-20-110822 | FL |
National Provider Identifier
| NPI | 1124659438 |
|---|---|
| Provider Name | Avery Goodwin |
| First Address | Milton, FL 32583-7692 |
| Second Address | Milton, FL 32583-7692 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/01/2020 |
| Last Update Date | 02/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.