DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. MICHAEL CLIFFORD GOODWIN QMHS, CDCA

MEDICARE: MR. MICHAEL CLIFFORD GOODWIN QMHS, CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianOH

General Provider Information

NPI Number : 1306772652
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL CLIFFORD GOODWIN QMHS, CDCA
Provider Business Mailing Address
First Line : 371 W 1ST ST
Second Line :
City : DAYTON
State : OH
Zip : 45402-3012
Country : US
Telephone Number : 937-609-6830
Fax Number :
Provider Business Practice Location Address
First Line : 1415 SALEM AVE
Second Line :
City : DAYTON
State : OH
Zip : 45406-4941
Country : US
Telephone Number : 937-609-6830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/23/2026

Similar Medicare Providers

1194560110 — A LOVING HEART YOUTH SERVICES INC
Practice Location Address:
1415 SALEM AVE
DAYTON, OH
45406-4941
Practice Phone: 937-558-8567
Practice Fax: 888-783-3165
1225963069 — LATEASA RENEE SPEARS
Practice Location Address:
1415 SALEM AVE
DAYTON, OH
45406-4941
Practice Phone: 937-993-9594
Practice Fax:
1629577010 — JOE M JOHNSON III
Practice Location Address:
1415 SALEM AVE
DAYTON, OH
45406-4941
Practice Phone: 937-723-8475
Practice Fax:
1205594231 — LYNESE BETH JOHNSON LPN
Practice Location Address:
1415 SALEM AVE
DAYTON, OH
45406-4941
Practice Phone: 937-380-2418
Practice Fax: 937-795-3403
1093507238 — MRS. MARY MARTHA STOCKARD BS, CDA
Practice Location Address:
1415 SALEM AVE
DAYTON, OH
45406-4941
Practice Phone: 937-856-4734
Practice Fax:
1568255834 — CHANERIA BRETCHET GOODNER
Practice Location Address:
1415 SALEM AVE
DAYTON, OH
45406-4941
Practice Phone: 937-818-7656
Practice Fax:

Directions to “ MR. MICHAEL CLIFFORD GOODWIN QMHS, CDCA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.