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NPI 1841818648

NPI 1841818648 : CARMEN GODOY RBT : HOCKLEY, TX

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General NPI Number Information
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    NPI Number           |    1841818648
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    Entity Type          |    Individual 
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    Provider Name        |    CARMEN GODOY RBT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/08/2020
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    Last Update Date     |    07/31/2025
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Provider Practice Location Address
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    Address Line         |    21810 RED LANTANA TRL 
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    City                 |    HOCKLEY
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    State                |    TX
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    Zip                  |    77447-2476
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    Country              |    US
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    Telephone            |    786-925-3132
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1500 S DOUGLAS RD STE 230 
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    City                 |    CORAL GABLES
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    State                |    FL
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    Zip                  |    33134-4108
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    Country              |    US
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    Telephone            |    844-854-1116
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    Fax                  |    305-846-9711
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    2355S0801X
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    Taxonomy Name        |    Speech-Language Assistant
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    License Number       |    42123
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    License Number State |    TX
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