NPI 1023909710
Deontae Gooden
Practice location
- Address
- 24 Albion Rd Suite 320, Lincoln, RI 02865-3746
- Phone
- (855) 295-3276
- Fax
- (888) 588-2752
- Mailing address
- 1333 S Mayflower Ave Suite 220, Monrovia, CA 91016-4066
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1023909710
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Jul 2025
- Record last updated
- 11 Jul 2025
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.