Jessica Carolyn Goodrich, is a
Behavior Technician based in Virginia Beach, Virginia. Jessica Carolyn Goodrich is licensed to practice in * (Not Available) (license number ) and her current practice location is
5265 Providence Rd Ste 504, Virginia Beach, Virginia. She can be reached at her office (for appointments etc.) via phone at
(978) 735-9257.
NPI number for Jessica Carolyn Goodrich is 1063060945 and her current mailing address is 1500 S Douglas Rd Ste 230, Coral Gables, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063060945.
Healthcare Provider's Profile
| Full Name | Jessica Carolyn Goodrich |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
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| Location | 5265 Providence Rd Ste 504, Virginia Beach, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063060945
- Provider Enumeration Date: 09/03/2019
- Last Update Date: 11/05/2020
Medical Identifiers
Medical identifiers for Jessica Carolyn Goodrich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063060945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Carolyn Goodrich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessica Carolyn Goodrich,
1500 S Douglas Rd Ste 230,
Coral Gables, FL 33134-4108
Ph: (844) 854-1116 | Jessica Carolyn Goodrich,
5265 Providence Rd Ste 504,
Virginia Beach, VA 23464-4210
Ph: (978) 735-9257 |
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