NPI 1003241282

Terry Lynn Goforth

Practitioner Behavior Analyst Willamina, OR

Practice location

Address: 38722 SW Dent Rd, Willamina, OR 97396-9749
Phone: (503) 876-3072

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1003241282
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Sep 2013
Record last updated: 6 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.