NPI 1023566023

Ray Travis Goodin

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Las Vegas, NV

Practice location

Address: 2625 Wyandotte St # 17, Las Vegas, NV 89102-6471
Phone: (313) 433-7330

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Nevada →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1023566023
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Sep 2016
Record last updated: 7 Oct 2016

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.