| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SARA GODINEZ | 1194329037 | 2020-11-22 |
Sara Godinez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1194329037. Registration indicates Sara Godinez is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Sara Godinez |
| Practice Office Address | 12443 LEWIS ST STE 201 GARDEN GROVE, CA US |
| Practice Office Telephone | 7147484440 |
| Mailing Address | 12443 LEWIS ST STE 201 GARDEN GROVE, CA 928404650 US |
| Business Telephone | 7147484440 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |