NPI Registry.org

Dawn Goforth

NPI Registration Record

Provider / OrganizationNPIDate Certified
DAWN GOFORTH17307363072021-04-25

Dawn Goforth is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1730736307. Registration indicates Dawn Goforth is a provider of services with a specialization in Technologists, Technicians & Other Technical Service Providers, Technician, Other (Technician, Other, ) (Technician, Other, Technologists, Technicians & Other Technical Service Providers) (Behavioral Health & Social Service Providers, Behavior Technician) (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )

Entity TypeIndividual
Provider Name Dawn Goforth
Practice Office Address913 N CAROLINA AVE
STATESVILLE, NC US
Practice Office Telephone7048710934
Mailing Address4575 SE DIXIE HWY
STUART, FL 349976826 US
Offices / Locations
AddressCity / StatePhone / Fax
716 Marsh Rd Charlotte, NC 282091851 7045229912
HPT Codes
CodePractice
License No
State
247200000X
Technologists, Technicians & Other Technical Service Providers
Technician, Other
Technician, Other

Technician, Other
Technologists, Technicians & Other Technical Service Providers
106S00000X PRIMARY
Behavioral Health & Social Service Providers
Behavior Technician
Behavior Technician
Behavioral Health & Social Service Providers
Behavior Technician
OPI Codes

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